Provider Demographics
NPI:1558746156
Name:TROTTIER, MARIE ANDREE (OD)
Entity type:Individual
Prefix:DR
First Name:MARIE ANDREE
Middle Name:
Last Name:TROTTIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5452 US ROUTE 5 STE H
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-9037
Mailing Address - Country:US
Mailing Address - Phone:802-334-1515
Mailing Address - Fax:802-334-2935
Practice Address - Street 1:5452 US ROUTE 5 STE H
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-9037
Practice Address - Country:US
Practice Address - Phone:802-334-1515
Practice Address - Fax:802-334-2935
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT030.0134000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty