Individual
DR. TROY DALE COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
432 WALL ST, JEFFERSONVILLE, IN 47130-3428
(812) 283-7492
(812) 283-7599
Mailing address
432 WALL ST, JEFFERSONVILLE, IN 47130-3428
(812) 283-7492
(812) 283-7599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1408DT
KY
152W00000X
Optometrist
Primary
18002957B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196340A
—
IN
01
—
203722741
TAX ID
IN
Enumeration date
08/12/2005
Last updated
09/29/2011
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