Provider Demographics
NPI:1992775662
Name:CURRIER, TROY L (OD)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:L
Last Name:CURRIER
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:PO BOX 238
Mailing Address - Street 2:
Mailing Address - City:IDA GROVE
Mailing Address - State:IA
Mailing Address - Zip Code:51445-0238
Mailing Address - Country:US
Mailing Address - Phone:712-364-3118
Mailing Address - Fax:712-364-4144
Practice Address - Street 1:415 2ND ST
Practice Address - Street 2:
Practice Address - City:IDA GROVE
Practice Address - State:IA
Practice Address - Zip Code:51445-1302
Practice Address - Country:US
Practice Address - Phone:712-364-3118
Practice Address - Fax:712-364-4144
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02088152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA40219OtherWELLMARK IDA GROVE
IA1156588Medicaid
IA0156588Medicaid
IA40220OtherWELLMARK DENISON
IAI0900Medicare PIN
IA410034116Medicare PIN
IA40220OtherWELLMARK DENISON
IA0156588Medicaid
I0902Medicare PIN