Healthcare Provider Details

I. General information

NPI: 1700224508
Provider Name (Legal Business Name): CARRIE TRIGILIO O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2013
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 MAIN ST
WESTLAKE OH
44145-8155
US

IV. Provider business mailing address

247 MAIN ST
WESTLAKE OH
44145-8155
US

V. Phone/Fax

Practice location:
  • Phone: 440-788-4224
  • Fax: 440-249-6931
Mailing address:
  • Phone: 440-788-4224
  • Fax: 440-249-6931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6238
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number6238
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: