Moats, Troy A

Moats, Troy A is an individual health care provider with primary practice located at 1401 Alliant Ave , Louisville KY 40299-6372. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moats, Troy A can be contacted via phone (502) 267-6567.

Contact Information

Primary practice address
1401 Alliant Ave Louisville KY 40299-6372
Fax: (502) 267-0055
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1665DT Kentucky

Profile Details

NPI number 1528032794
LBN Legal business name Moats, Troy A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528032794 NPPES
Minnesota MEDICAID 630022700

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