Provider Demographics
NPI:1366588683
Name:CONNER, TRISHA ANN (OD)
Entity type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:ANN
Last Name:CONNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 W UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2934
Mailing Address - Country:US
Mailing Address - Phone:469-347-6436
Mailing Address - Fax:469-347-6437
Practice Address - Street 1:3650 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-2934
Practice Address - Country:US
Practice Address - Phone:469-347-6436
Practice Address - Fax:469-347-6437
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4055152W00000X, 152WL0500X
TX9540152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation