White, Troy R.

White, Troy R. is an individual health care provider with primary practice located at 1200 Mountain Creek Rd Ste 260 , Chattanooga TN 37405-1689. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. White, Troy R. can be contacted via phone (423) 922-9293.

Contact Information

Primary practice address
1200 Mountain Creek Rd Ste 260 Chattanooga TN 37405-1689
Phone: (423) 922-9293
Fax: (423) 922-9303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0000001996 Tennessee

Profile Details

NPI number 1376537662
LBN Legal business name White, Troy R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376537662 NPPES
Tennessee MEDICAID 3942905
Tennessee Other 3125444
Tennessee Other 2240508

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