LUIS C TRUJILLO (NPI# 1619109758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619109758 |
Entity Type | Individual |
Full Name | LUIS C TRUJILLO |
Credential | O.D. |
Practice Address |
1200 W Godfrey Ave Philadelphia PA 19141-3323 |
Mailing Address |
215 Fisher Rd Jenkintown PA 19046-3811 |
Practice Telephone | 2152766000 |
Mailing Telephone | 5124702409 |
Enumeration Date | 2009-08-21 |
Last Update Date | 2011-07-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | OEG002259 | PA | Eye and Vision Services Providers |
Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
OEG002259 | PA | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396073078 | Luis Bernardo Trujillo | Clinic/Center | 2614 Vinedale Ave, Valrico, FL 33596-7383 | 2009-11-18 |
1285640607 | Luis Trujillo | Nurse Practitioner | 1459 Sycamore Dr, Simi Valley, CA 93065-4751 | 2006-07-31 |
1821042094 | Luis A Trujillo | Emergency Medicine | 515 Quarter St, Gladwin, MI 48624-1959 | 2006-05-20 |
1861960411 | Luis Trujillo | Physical Therapy Assistant | 8301 E Prentice Ave Ste 207, Greenwood Village, CO 80111-2905 | 2018-11-12 |
1528565769 | Luis Adrian Trujillo | Behavior Technician | 5550 W Flamingo Rd Ste C5, Las Vegas, NV 89103-0137 | 2018-04-12 |
1861752826 | Luis Juan Trujillo | Internal Medicine | 2102 Treasure Hills Blvd, Room 2.136.03, Harlingen, TX 78550-8736 | 2012-05-24 |
Street Address |
1200 W GODFREY AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19141-3323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720077902 | Stanley W Hatch | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2005-10-19 |
1487264438 | Fiza Tariq | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-08-05 |
1376151043 | Shaghayegh Mohebbi Hesari | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-20 |
1710505490 | Julia Gabrielle Runco | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-09 |
1013535798 | Laura Ann Davis | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-09 |
1013535848 | Elizabeth Marie Marunde | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
1518585330 | Milena Stefanovic | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
1528686375 | James Harrison Forde | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
1730707571 | Preet Dhami | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
1205454055 | Dominic Letray Brown | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
Find all providers in zip 19141 |
Taxonomy Code | 152WP0200X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Pediatrics |
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457452237 | Michael F Gallaway | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2006-09-26 |
1992815930 | Joann F Bailey | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2006-08-30 |
1104936236 | Gale R Orlansky | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2006-08-30 |
1477565224 | Jamie A Ellsworth-neiman | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2006-08-12 |
1336159268 | Brandy Scombordi-raghu | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2006-08-09 |
1407897812 | James R. Filippo, Od | Optometrist | 2614 Rhawn St, Philadelphia, PA 19152-3415 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518001924 | Elisa Beth Haransky-beck | Optometrist | 2009 Noble St, Swissvale, PA 15218-2100 | 2007-02-18 |
1275687907 | Man Tri Vu | Optometrist | 632 York Rd, Warminster, PA 18974-2002 | 2007-01-22 |
1174619829 | Edward W. Zikoski | Optometrist | 1098 Washington Crossing Rd, Suite 5, Washington Crossing, PA 18977 | 2006-10-04 |
1902841984 | Jennifer Ernestine Stevens | Optometrist | 273 Grandview Ave, Suite 3, Honesdale, PA 18431-1163 | 2006-06-17 |
1881166643 | Main Street Eye Care, LLC | Optometrist | 200 S Main St, Du Bois, PA 15801-1578 | 2018-12-18 |
1437386927 | Nathan W. Steinhafel | Optometrist | 159 Butler Rd Ste 2, Kittanning, PA 16201 | 2009-06-11 |
1841483278 | Edward Zikoski Eye Prof of Washington Crossing | Optometrist | 1098 Washington Crossing Rd, Washington Xing, PA 18977-1343 | 2007-08-20 |
1174677454 | Robert L Lipski | Optometrist | 2212 Old Turnpike Rd, Lewisburg, PA 17837-6521 | 2007-01-23 |
1548325863 | Elise Beth Ciner | Optometrist | 2805 W Chester Pike, Broomall, PA 19008-1827 | 2006-12-27 |
1477577369 | Michelle Lynn Wertelet | Optometrist | 124 Graham Park Dr Ste 300, Cranberry Township, PA 16066-8328 | 2006-07-26 |
Find all providers with the same taxonomy |
City | PHILADELPHIA |
Zip Code | 19141 |
Please comment or provide details below to improve the information on LUIS C TRUJILLO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.