Provider Demographics
NPI:1861708315
Name:ALBRIGHT, TRENT DAVIS (MD)
Entity type:Individual
Prefix:
First Name:TRENT
Middle Name:DAVIS
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 E WILSON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-6315
Mailing Address - Country:US
Mailing Address - Phone:614-885-8833
Mailing Address - Fax:614-807-2370
Practice Address - Street 1:89 E WILSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-6315
Practice Address - Country:US
Practice Address - Phone:614-885-8833
Practice Address - Fax:614-807-2370
Is Sole Proprietor?:No
Enumeration Date:2010-08-22
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036125098207W00000X
OH35097049207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology