Individual
MR. TIMOTHY HARRELD TROUTMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
303 13TH ST, HUNTINGBURG, IN 47542-9269
(812) 683-4443
(812) 683-5409
Mailing address
PO BOX 360, HUNTINGBURG, IN 47542-0360
(812) 683-4443
(812) 683-5409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
16460T
KY
152W00000X
Optometrist
Primary
18003367
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200523320
—
IN
01
—
213550D
MEDICARE ID
IN
Enumeration date
11/07/2005
Last updated
06/20/2024
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