Provider Demographics
NPI:1104939669
Name:DRENTH, CYNTHIA CAY (OD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:CAY
Last Name:DRENTH
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 1:4831 STONEGATE BLVD.
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333
Mailing Address - Country:US
Mailing Address - Phone:330-665-2338
Mailing Address - Fax:330-665-2338
Practice Address - Street 1:3750 W MARKET ST
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4804
Practice Address - Country:US
Practice Address - Phone:330-665-4268
Practice Address - Fax:330-666-8922
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4793152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist