Healthcare Provider Details

I. General information

NPI: 1598766990
Provider Name (Legal Business Name): GEORGE M TOOHEY OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 FALLOWFIELD AVE
CHARLEROI PA
15022-1503
US

IV. Provider business mailing address

419 FALLOWFIELD AVE
CHARLEROI PA
15022-1503
US

V. Phone/Fax

Practice location:
  • Phone: 724-489-9600
  • Fax: 724-539-1654
Mailing address:
  • Phone: 724-489-9600
  • Fax: 724-539-1654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000643
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: