Active NPI
Christine Fenge Trinh, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1063839090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010745
- Practice address
- 4100 N Cicero Ave
Chicago, IL 60641-1808 - Phone
- (773) 427-9378
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010745 | IL | Primary |
Addresses
Primary practice location
4100 N Cicero Ave
Chicago, IL 60641-1808
Mailing address
4100 N Cicero Ave
Chicago, IL 60641-1808
Phone (773) 427-9378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046010745 | Other | IL | 046010745 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1063839090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 N CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411808",
"telephone_number": "773-427-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 N CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411808",
"telephone_number": "773-427-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINH",
"first_name": "CHRISTINE",
"middle_name": "FENGE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "046010745",
"identifier": "046010745",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.