Provider Demographics
NPI:1699536078
Name:TRENZ, GRIFFIN WILLIAM (OD)
Entity type:Individual
Prefix:DR
First Name:GRIFFIN
Middle Name:WILLIAM
Last Name:TRENZ
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:4520 S HARVARD AVE STE 135
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2916
Practice Address - Country:US
Practice Address - Phone:918-745-9662
Practice Address - Fax:918-745-9663
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3250152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist