Active NPI
Mark Louis Troutman, O.D.
- Optometrist
- Morganfield, KY
National Provider Identifier
1497827455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MARK823
- Practice address
- 207 W Main St
Morganfield, KY 42437 - Phone
- (270) 389-1864
- Fax
- (270) 389-1616
- NPI assigned
- Nov 14, 2006
- Last updated
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 823 | KY | |
| Optometrist | 152W00000X | MARK823 | KY | Primary |
Addresses
Primary practice location
207 W Main St
Morganfield, KY 42437
Mailing address
P.O. Box 150
207 W Main St
Morganfield, KY 42437
Phone (270) 389-1864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 823 | KY | MD | Optometrist |
| MARK823 | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayden Vision LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1497827455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 150",
"address_2": "207 W MAIN ST",
"city": "MORGANFIELD",
"state": "KY",
"postal_code": "42437",
"telephone_number": "270-389-1864",
"fax_number": "270-389-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W MAIN ST",
"city": "MORGANFIELD",
"state": "KY",
"postal_code": "42437",
"telephone_number": "270-389-1864",
"fax_number": "270-389-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUTMAN",
"first_name": "MARK",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "823",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "MARK823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganfield, KY
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- Cassie Tavares, LPCC, NCC
- TDH Inc
- Harmina Johanna Te Velthuis
- Theramaxx Therapeutic Solutions LLC (Theramaxx)
- Union County Family Dental, PLLC (Union County Family Dental)
- Union County Schools
- Union Pharm Inc
- Kayce A Wahl, NP
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0257)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.