IndividualActive
Luis Trujillo, O.D.
NPI 1619109758 · Pediatric Optometrist · Philadelphia, PA
Provider details
- NPI number
- 1619109758
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- OEG002259 (PA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone: (215) 276-6000
Approximate (ZIP-level) locationGet directions
Mailing address
215 Fisher Rd
Jenkintown, PA 19046-3811
Registry dates
- Enumerated
- 2009-08-21
- Last updated
- 2011-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.