Trujillo Vision and Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6079 Issued in OH

Legal business name

TRUJILLO VISION AND EYE CARE LLC

Practice address

9666 Olde US 20
Rossford, OH 43460-1710

Phone

(419) 872-1397

NPI assigned

Oct 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Trujillo, O.D.

Title

Member

Phone

(217) 621-6053

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1912457300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 BRINTHAVEN DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 OLDE US 20",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601710",
            "telephone_number": "419-872-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUJILLO VISION AND EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-621-6053",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Rossford, OH
• Providers in Rossford, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.