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General NPI Number Information
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NPI Number | 1437256328
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Entity Type | Individual
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Provider Name | TORI J. FLOOD O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2303 SCHNEIDER AVE SE
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City | MENOMONIE
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State | WI
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Zip | 54751-7005
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Country | US
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Telephone | 715-235-3838
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Fax | 715-235-3846
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Provider Business Mailing Address
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Address Line | 507 MAITLAND DR APT 64
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-4707
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Country | US
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Telephone | 563-650-3514
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3036-035
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License Number State | WI
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