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DR. DAVID RICHARD TOLAND II O.D.
NPI 1528022654
Optometrist in Sun City, AZ

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
13000 N 103RD AVE STE 94, SUN CITY, AZ 85351(623) 933-2013(623) 933-6652 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David Richard Toland Ii O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID RICHARD TOLAND II O.D. (NPI 1528022654) is an individual optometrist in Sun City, Arizona, licensed in Arizona (949) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1996).

NPPES Registry Identity

NPI1528022654
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID RICHARD TOLAND IICredential: O.D.
Location Address13000 N 103RD AVE STE 94Sun City, AZ 85351-3060
Mailing Address13000 N 103rd Ave Ste 94Sun City, AZ 85351-3060 · (623) 933-2013 · Fax (623) 933-6652
Phone(623) 933-2013
Fax(623) 933-6652
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1996
Enumeration DateApril 14, 2006
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1528022654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 949
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
13000 N 103RD AVE STE 94, Sun City, AZ 85351
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Other Identifiers 1

OtherZ71484AZ · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Richard Toland Ii O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456336882
PECOS Enrollment IDI20120124000914
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Toland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Valley Eye Care, LLC
Same address
Optometrist
13000 N 103RD AVE STE 94
Sun City, AZ 85351
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1669662789 (623) 933-2013

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
203 services153 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
153 services144 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
145 services107 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
138 services102 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
101 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWEST VALLEY EYE CARE, LLC
Optometrist
13000 N 103RD AVE STE 94
SUN CITY, AZ 85351
Maricopa County (623) 933-2013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Toland's NPI number?

The NPI number for David Toland is 1528022654. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is David Toland located?

David Toland practices at 13000 N 103rd Ave Ste 94, Sun City, AZ 85351. The listed phone number is (623) 933-2013.

What is David Toland's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David Toland enrolled in Medicare?

Yes. David Toland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for David Toland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Toland reassigns Medicare benefits to Northwest Valley Eye Care, LLC (Sun City, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Toland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Toland accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 5 other insurers list David Toland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Toland was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.