Provider Demographics
NPI:1659800829
Name:ENFINGER, TROY LEE (OD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:LEE
Last Name:ENFINGER
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 1:10184 EASTERN SHORE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5814
Mailing Address - Country:US
Mailing Address - Phone:251-301-5650
Mailing Address - Fax:
Practice Address - Street 1:1302 US HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4256
Practice Address - Country:US
Practice Address - Phone:251-410-9000
Practice Address - Fax:251-410-9200
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-D91-TA-A79152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist