Provider Demographics
NPI:1417058579
Name:NORTON, TROY A (OD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:A
Last Name:NORTON
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 948
Mailing Address - Street 2:112 NARROW GAUGE SQ
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-0948
Mailing Address - Country:US
Mailing Address - Phone:207-778-6925
Mailing Address - Fax:207-778-0578
Practice Address - Street 1:112 NARROW GAUGE SQ
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-5824
Practice Address - Country:US
Practice Address - Phone:207-778-6925
Practice Address - Fax:207-778-0578
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT837152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME039212OtherBCBS
ME2437565OtherAETNA
MEMN4001OtherHARVARD PILGRIM
ME4661OtherDAVIS VISION
ME7782223OtherVSP
MEM187204OtherCIGNA
MEMM861901Medicare PIN