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General NPI Number Information
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NPI Number | 1316906423
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Entity Type | Organization
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Legal Business Name | TOBIN EYE INSTITUTE
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 3902 SHERMAN AVE
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3648
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Country | US
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Telephone | 816-279-1363
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Fax | 816-279-1406
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Provider Business Mailing Address
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Address Line | 1407 VILLAGE DR
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2459
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Country | US
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Telephone | 816-279-1363
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Fax | 816-233-8936
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROBERT F TOBIN
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Credential |
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Telephone | 816-279-1363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 24-20
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License Number State | MO
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