Provider Demographics
NPI:1659066256
Name:TRENZ, HALEY LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:LYNN
Last Name:TRENZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:LYNN
Other - Last Name:LIBERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:64600 727 RD
Mailing Address - Street 2:
Mailing Address - City:NEMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68414-6042
Mailing Address - Country:US
Mailing Address - Phone:402-801-0130
Mailing Address - Fax:
Practice Address - Street 1:111 S LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-1616
Practice Address - Country:US
Practice Address - Phone:918-582-2020
Practice Address - Fax:918-582-5307
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3230152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist