Individual provider Active NPI

Jeffrey Allen Troup, O.D.

  • Optometrist
  • Merrillville, IN
National Provider Identifier
1346382520
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002252 Issued in IN
Practice address
7211 Taft St
Merrillville, IN 46410-3731
Phone
(219) 769-6367
Fax
(219) 322-2622
NPI assigned
Feb 13, 2007
Last updated
Jan 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002252 IN Primary

Addresses

Primary practice location

7211 Taft St
Merrillville, IN 46410-3731

Mailing address

1710 Wintergreen CT
Crown Point, IN 46307-5312
Phone (219) 322-2622

Other practice location 1

9521 Indianapolis Blvd Ste K
Highland, IN 46322-2641
Phone (219) 924-6281

Other practice location 2

1710 Wintergreen Ct
Crown Point, IN 46307-5312
Phone (219) 322-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200227001030 IN Practitioner - Optometry 3274960414 Practice locations: Highland, IN; Merrillville, IN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9521 Indianapolis Blvd
Suite K
Highland, IN 46322-2641
Phone (219) 924-6281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002252INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Longe Optical PastSince Jan 28, 2024 Accepting new patients
Troup Henderson Enterprises PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1346382520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WINTERGREEN CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075312",
            "telephone_number": "219-322-2622",
            "fax_number": "219-322-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103731",
            "telephone_number": "219-769-6367",
            "fax_number": "219-322-2622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9521 Indianapolis Blvd Ste K",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222641",
            "country_code": "US",
            "telephone_number": "219-924-6281",
            "fax_number": "219-322-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Wintergreen Ct",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463075312",
            "country_code": "US",
            "telephone_number": "219-322-2622",
            "fax_number": "219-322-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUP",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.