Provider Demographics
NPI:1285029223
Name:TREND EYE CARE II LLC
Entity Type:Organization
Organization Name:TREND EYE CARE II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TU
Authorized Official - Middle Name:
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-391-3811
Mailing Address - Street 1:1501 N BROAD ST
Mailing Address - Street 2:7
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-3319
Mailing Address - Country:US
Mailing Address - Phone:215-866-1742
Mailing Address - Fax:215-866-1759
Practice Address - Street 1:1501 N BROAD ST
Practice Address - Street 2:7
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-3319
Practice Address - Country:US
Practice Address - Phone:215-866-1742
Practice Address - Fax:215-866-1759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002058152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty