Individual
DR. JEREMIAH JOHN TROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
213 GATEWAY BLVD, SUITE 4, LEWISBURG, WV 24901-1174
(304) 645-7797
Mailing address
213 GATEWAY BLVD, SUITE 4, LEWISBURG, WV 24901-1174
(304) 645-7797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001952
VA
152W00000X
Optometrist
Primary
1081-OD
WV
152W00000X
Optometrist
L1832595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018087
—
WV
01
—
4303101
MEDICARE PTAN
WV
Enumeration date
07/07/2010
Last updated
08/13/2012
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