Individual
DR. TROY WAYNE CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
44 MCCOY AVE, MADISONVILLE, KY 42431-2867
(270) 825-3937
(270) 326-2020
Mailing address
1180 COLLEGE DR, MADISONVILLE, KY 42431-9181
(270) 825-3937
(270) 326-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1237DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340384
BC/BS PIN
KY
01
—
1464026
UMWA PIN
KY
01
—
201228094
TAX ID #
KY
01
—
3554179
AETNA PIN
KY
05
—
77012375
—
KY
05
—
77902104
—
KY
01
—
9346900
PRINCIPAL FINANCIAL GROUP
KY
Enumeration date
10/17/2006
Last updated
12/15/2014
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