Active NPI
Timothy John Troupe, OD
- Optometrist
- Kalkaska, MI
National Provider Identifier
1609954866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003903
- Practice address
- 882 M 72 NW
Kalkaska, MI 49646-8787 - Phone
- (231) 258-9781
- Fax
- (231) 258-0616
- NPI assigned
- Nov 2, 2006
- Last updated
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003903 | MI | Primary |
Addresses
Primary practice location
882 M 72 NW
Kalkaska, MI 49646-8787
Mailing address
13385 Phelps Rd
Charlevoix, MI 49720-9249
Phone (269) 655-4014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4901003903 | Other | MI | STATE LICENSE |
| M39690004 | Other | MI | MEDICARE PTAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Townline Family PC | Optometrist | Past | Accepting new patients |
| Robert & Kimberly Molter Inc | Optometrist | 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": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1609954866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13385 PHELPS RD",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497209249",
"telephone_number": "269-655-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "882 M 72 NW",
"city": "KALKASKA",
"state": "MI",
"postal_code": "496468787",
"telephone_number": "231-258-9781",
"fax_number": "231-258-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUPE",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4901003903",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M39690004",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalkaska, MI
- Roger Troy Stobert, DDS
- Holly Jo Swinehart, OTR/L
- Aaron David Swoverland, DPT
- Townline Family PC (Kalkaska Family Vision Care)
- Traverse City Eye Consultants P C
- David K Vandekieft, PA-C
- Kara Emery Vanderwoude
- Village Chiropractic Wellness Center, PLC
- Erin Bridget Vorgias, MSW INTERN
- Christina Lynn Weasel Brege, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.