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General NPI Number Information
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NPI Number | 1669334157
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Entity Type | Organization
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Legal Business Name | JD TRENDY VISION LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 14462 SW 137TH CT OPTICAL WHEELS (MOBILE OPTICAL CLINIC)
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City | MIAMI
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State | FL
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Zip | 33186-7225
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Country | US
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Telephone | 786-502-4336
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Fax |
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Provider Business Mailing Address
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Address Line | 14462 SW 137TH CT
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City | MIAMI
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State | FL
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Zip | 33186-7225
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Country | US
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Telephone | 786-502-4336
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPTICIAN
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Name | DIANA CAROLINA TRILLOS
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Credential | LDO
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Telephone | 305-497-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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