Provider Demographics
NPI:1881745529
Name:GARCIA-HERRON, TRISHA ANN (OD)
Entity type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:ANN
Last Name:GARCIA-HERRON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3553 WHIPPLE RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1507
Mailing Address - Country:US
Mailing Address - Phone:510-675-2023
Mailing Address - Fax:
Practice Address - Street 1:3553 WHIPPLE RD BLDG B
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1507
Practice Address - Country:US
Practice Address - Phone:510-675-3034
Practice Address - Fax:510-675-4782
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10887T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist