Provider Demographics
NPI:1588942569
Name:FOX, TROY LEONARD (OD)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:LEONARD
Last Name:FOX
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1000 E PARIS AVE SE
Mailing Address - Street 2:STE 130
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-3691
Mailing Address - Country:US
Mailing Address - Phone:616-949-2001
Mailing Address - Fax:616-949-8620
Practice Address - Street 1:1000 E PARIS AVE SE
Practice Address - Street 2:STE 130
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3691
Practice Address - Country:US
Practice Address - Phone:616-949-2001
Practice Address - Fax:616-949-8620
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG002510152W00000X
MEOPT930152W00000X
MI4901004793152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist