Provider Demographics
NPI:1487774949
Name:TRUMLER-SEBRING, ANYA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ANYA
Middle Name:ANN
Last Name:TRUMLER-SEBRING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANYA
Other - Middle Name:ANN
Other - Last Name:JOHANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3085 LOMA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2916
Mailing Address - Country:US
Mailing Address - Phone:805-648-3085
Mailing Address - Fax:
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3468
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5198207W00000X
PAMD441152207W00000X
MDD0071823207W00000X
CAA108479207W00000X
CACA108479207WX0110X
NC2023-01008207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD700031600Medicaid
MD700031600Medicaid