Provider Demographics
NPI:1306269501
Name:TRENDY SPECS OPTIQUE
Entity type:Organization
Organization Name:TRENDY SPECS OPTIQUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:UZL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:234-208-9185
Mailing Address - Street 1:141 GHENT RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3338
Mailing Address - Country:US
Mailing Address - Phone:234-208-9185
Mailing Address - Fax:234-208-9186
Practice Address - Street 1:141 GHENT RD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3338
Practice Address - Country:US
Practice Address - Phone:234-208-9185
Practice Address - Fax:234-208-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5161152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty