MEDICARE: DR. MARVIN E. TROTT O.D.

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
1	152W00000X	Optometrist	S515TA305	AL
2	152WC0802X	Corneal and Contact Management Optometrist	S515TA305	AL

General Provider Information

NPI Number	:	1518056183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARVIN E. TROTT O.D.

Provider Business Mailing Address
First Line	:	1500 EASTDALE MALL
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-2120
Country	:	US
Telephone Number	:	334-244-6665
Fax Number	:	334-272-6273

Provider Business Practice Location Address
First Line	:	1500 EASTDALE MALL
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-2120
Country	:	US
Telephone Number	:	334-244-6665
Fax Number	:	334-272-6273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	09/11/2025

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