Provider Demographics
NPI:1528065356
Name:TRONNES, STEVEN F (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:TRONNES
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 1:2435 NW KLINE ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-1690
Mailing Address - Country:US
Mailing Address - Phone:541-672-2020
Mailing Address - Fax:541-673-8084
Practice Address - Street 1:2435 NW KLINE ST
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-1690
Practice Address - Country:US
Practice Address - Phone:541-672-2020
Practice Address - Fax:541-673-8084
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1409AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR009191Medicaid
ORR108739Medicare PIN
ORT68199Medicare UPIN