Provider Demographics
NPI:1285314278
Name:DR TROY WHITE OPTOMETRIST PLLC
Entity type:Organization
Organization Name:DR TROY WHITE OPTOMETRIST PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:423-413-5431
Mailing Address - Street 1:106 RIDGESIDE RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-1829
Mailing Address - Country:US
Mailing Address - Phone:423-413-5431
Mailing Address - Fax:
Practice Address - Street 1:7047 LEE HWY STE 100
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1793
Practice Address - Country:US
Practice Address - Phone:423-922-9293
Practice Address - Fax:423-922-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty