Healthcare Provider Details

I. General information

NPI: 1457780595
Provider Name (Legal Business Name): TREND EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 W GIRARD AVE STE 5
PHILADELPHIA PA
19123-1660
US

IV. Provider business mailing address

180 W GIRARD AVE STE 5
PHILADELPHIA PA
19123-1660
US

V. Phone/Fax

Practice location:
  • Phone: 215-554-6222
  • Fax: 215-554-6200
Mailing address:
  • Phone: 215-554-6222
  • Fax: 215-554-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG002058
License Number StatePA

VIII. Authorized Official

Name: DR. TU X DINH
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 215-554-6222