Individual
THOMAS R TRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1001 W FIFTH ST, MARYSVILLE, OH 43040
(937) 644-8637
(937) 644-8653
Mailing address
1001 W 5TH ST, MARYSVILLE, OH 43040-8666
(937) 644-8637
(937) 644-8653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492980
—
OH
Enumeration date
07/11/2006
Last updated
04/26/2018
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