Provider Demographics
NPI:1053688085
Name:TROUPE, AMANDA MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MARIE
Last Name:TROUPE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 359
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-0359
Mailing Address - Country:US
Mailing Address - Phone:662-391-2922
Mailing Address - Fax:662-450-3375
Practice Address - Street 1:6677 HIGHWAY 45 ALT S
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-9430
Practice Address - Country:US
Practice Address - Phone:662-391-2922
Practice Address - Fax:662-450-3375
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7846T152W00000X
MS861152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist