Individual
JOSEPH L TRUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1506 HARRISON AVE, ELKINS, WV 26241-3355
(304) 636-2020
(304) 636-5911
Mailing address
1506 HARRISON AVE, ELKINS, WV 26241-3355
(304) 636-2020
(304) 636-5911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
601-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719616
BC&BS PROVIDER #
WV
05
—
0150524000
—
WV
01
—
0485700001
DMERC PRODIVER #
WV
01
—
0646156
UMW PROVIDER #
WV
01
—
406580461
RAILROAD PROVIDER #
WV
01
—
550571839
WV CHIPS ID #
WV
Enumeration date
05/04/2006
Last updated
09/29/2014
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