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Organization
TROY HUMPHREYS OD FAAO, PROFESSIONAL CORPORATION
Active
Organization
TROY HUMPHREYS OD FAAO, PROFESSIONAL CORPORATION
Active
Other names
Legacy Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY MICHAEL HUMPHREYS OD (OWNER/DOCTOR OF OPTOMETRY)
(530) 257-4424
Entity
Organization
Contact information
Practice address
600 ASH ST, SUSANVILLE, CA 96130-3714
(530) 257-4424
(530) 237-0426
Mailing address
600 ASH ST, SUSANVILLE, CA 96130-3714
(530) 257-4424
(530) 237-0426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002516454
—
NV
01
—
V33674
NORIDIAN
NV
Enumeration date
05/16/2020
Last updated
12/13/2023
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