Provider Demographics
NPI:1497891386
Name:TRYGGESTAD, ROBERT EUGENE (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EUGENE
Last Name:TRYGGESTAD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14200 E ALAMEDA AVE
Mailing Address - Street 2:2013
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2511
Mailing Address - Country:US
Mailing Address - Phone:303-363-1486
Mailing Address - Fax:303-363-4122
Practice Address - Street 1:14200 E ALAMEDA AVE
Practice Address - Street 2:2013
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2511
Practice Address - Country:US
Practice Address - Phone:303-363-1486
Practice Address - Fax:303-363-4122
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT1377152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management