Individual provider Active NPI

Kate L Trinh

  • Optometrist
  • Coolidge, AZ
National Provider Identifier
1043773708
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002458 Issued in AZ
Practice address
371 W Central Ave
Coolidge, AZ 85128-4706
Phone
(480) 892-8400
Fax
(602) 508-4830
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34311TLG CA
Optometrist 152W00000X OPT-002458 AZ Primary

Addresses

Primary practice location

371 W Central Ave
Coolidge, AZ 85128-4706

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (480) 892-8400

Other practice location 1

5250 E Southern Ave
Mesa, AZ 85206-2747
Phone (602) 955-1000

Other identifiers 1

IdentifierTypeStateIssuer
082349MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112002510 AZ Practitioner - Optometry 3678983079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

560 N Camino Mercado
Suite 1
Casa Grande, AZ 85122-5759
Phone (520) 426-9224

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34311TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Current Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Barnet Dulaney Perkins Eye Center II PLLC CurrentSince Nov 1, 2020 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Nov 1, 2020 Accepting new patients

Locations (25 of 28)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

7435 E Main St
Ste 101
Mesa, AZ 85207
Phone (480) 634-3777

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

4800 N 22nd St
Ste 200
Phoenix, AZ 85016

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

5251 W Campbell Ave
Ste 201
Phoenix, AZ 85031

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

3301 N Miller Rd
Ste 140
Scottsdale, AZ 85251
Phone (480) 945-8440

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

14820 N Del Webb Blvd
Sun City, AZ 85351

10615 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 933-3024

13624 W Camino del Sol
Ste 200
Sun City West, AZ 85375
Phone (623) 546-6599

6101 S Rural Rd
Ste 115
Tempe, AZ 85283
Phone (480) 517-0047

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

Interoperability endpoints

  • Direct secure messaging: kate.trinh.p20@direct.avp.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1043773708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 W CENTRAL AVE",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851284706",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062747",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRINH",
        "first_name": "KATE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-10-02",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34311TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082349",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coolidge, AZ

Sources for this page

Verify at the official NPI Registry.