Provider Demographics
NPI:1033299409
Name:TREZZA, JOSEPH E (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:TREZZA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E LELAND RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-4983
Mailing Address - Country:US
Mailing Address - Phone:925-439-3129
Mailing Address - Fax:
Practice Address - Street 1:130 E LELAND RD
Practice Address - Street 2:SUITE A
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4983
Practice Address - Country:US
Practice Address - Phone:925-439-3129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6371 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist