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Individual

DR. THOMAS O TROUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2260 MAIN ST., ROCHESTER, IN 46975-2107
(574) 223-3916
(574) 223-2965
Mailing address
PO BOX 286, ROCHESTER, IN 46975-0286
(574) 223-3916
(574) 223-2965

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001583A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100150430
IN
Enumeration date
03/27/2006
Last updated
12/04/2012
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