Provider Demographics
NPI:1114981859
Name:TROENDLE, ROBERT F (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:TROENDLE
Suffix:
Gender:M
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 64
Mailing Address - Street 2:
Mailing Address - City:ALTON BAY
Mailing Address - State:NH
Mailing Address - Zip Code:03810-0064
Mailing Address - Country:US
Mailing Address - Phone:603-330-1961
Mailing Address - Fax:603-330-1962
Practice Address - Street 1:116 FARMINGTON RD
Practice Address - Street 2:NATIONAL VISION AT WALMART
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-4352
Practice Address - Country:US
Practice Address - Phone:603-330-1961
Practice Address - Fax:603-330-1962
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH7876Medicare UPIN