Individual
DR. C. TROY ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1601 E CHAPMAN AVE, FULLERTON, CA 92831-4015
(714) 526-5515
(714) 526-5384
Mailing address
1601 E CHAPMAN AVE, FULLERTON, CA 92831-4015
(714) 526-5515
(714) 526-5384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11101T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GSD001700
GROUP MEDICAID #
CA
05
—
SD0111010
—
CA
01
—
WY061
GROUP MEDICARE #
CA
Enumeration date
09/28/2005
Last updated
07/17/2019
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