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NPI Code Detail

MEDICARE: TROTTA EYE CARE PC

MEDICARE: TROTTA EYE CARE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist046-006600IL

General Provider Information

NPI Number : 1053598169
Entity Type Code : Organization
Provider Name (Legal Business Name) : TROTTA EYE CARE PC
Provider Business Mailing Address
First Line : 101 BRIGHTON DR
Second Line :
City : WHEATON
State : IL
Zip : 60187-1002
Country : US
Telephone Number : 630-740-1657
Fax Number : 708-349-4359
Provider Business Practice Location Address
First Line : 9245 159TH ST
Second Line :
City : ORLAND HILLS
State : IL
Zip : 60487-5977
Country : US
Telephone Number : 630-740-1657
Fax Number : 708-349-4359
Authorized Official
Title or Position : OPTOMETRIAT
Name : DR. DANIEL J TROTTA
Credential : O.D.
Telephone Number : 630-740-1657
Provider Enumeration Date : 01/31/2008
Last Update Date : 03/18/2010

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Directions to “TROTTA EYE CARE PC ” Practice Location

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