Provider Demographics
NPI:1487733143
Name:TROY A NORTON OD, INC.
Entity type:Organization
Organization Name:TROY A NORTON OD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-778-6925
Mailing Address - Street 1:PO BOX 948
Mailing Address - Street 2:112 NARROW GAUGE SQUARE
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-0948
Mailing Address - Country:US
Mailing Address - Phone:207-778-6925
Mailing Address - Fax:207-778-0578
Practice Address - Street 1:112 NARROW GAUGE SQ
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-5824
Practice Address - Country:US
Practice Address - Phone:207-778-6925
Practice Address - Fax:207-778-0578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT837152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME2437565OtherAETNA
ME7782223OtherVSP
ME039212OtherBCBS
MEMN4001OtherHARVARD PILGRIM
ME039212OtherANTHEM BCBS
ME134280000Medicaid
ME4661OtherDAVIS VISION
MEM187204OtherCIGNA
ME039212OtherBCBS
ME2437565OtherAETNA