Provider Demographics
NPI:1346382520
Name:TROUP, JEFFREY ALLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALLEN
Last Name:TROUP
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1710 WINTERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-5312
Mailing Address - Country:US
Mailing Address - Phone:219-322-2622
Mailing Address - Fax:219-322-2622
Practice Address - Street 1:7211 TAFT ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-3731
Practice Address - Country:US
Practice Address - Phone:219-769-6367
Practice Address - Fax:219-322-2622
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2024-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN18002252152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist