Organization
MIDWEST GLAUCOMA ASSOCIATES
Active
Other names
midwest glaucoma associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARTIN TROYER M.D. (OPHTHALMOLOGIST)
(317) 817-1768
Entity
Organization
Contact information
Practice address
10300 N ILLINOIS ST, SUITE 1010, INDIANAPOLIS, IN 46290-1164
(317) 817-1768
(317) 817-1777
Mailing address
10300 N ILLINOIS ST, SUITE 1010, INDIANAPOLIS, IN 46290-1164
(317) 817-1768
(317) 817-1777
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
50002846A
IN
207W00000X
Ophthalmology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000102779
BLUE SHIELD
IN
05
—
200435300
—
IN
01
—
CA5015
RAILROAD MEDICARE
IN
Enumeration date
07/08/2006
Last updated
12/18/2019
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