Individual provider Active NPI

Linh Thuy Thi Trang, O.D

  • Optometrist
  • Worcester, MA
National Provider Identifier
1073779948
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA 4988 Issued in MA
Practice address
1 Tobias Boland Way
Worcester, MA 01607-2533
Phone
(508) 661-9532
Fax
(410) 944-5615
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002757 CT
Optometrist 152W00000X TA2153 MD
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MA 4988 MA Primary

Addresses

Primary practice location

1 Tobias Boland Way
Worcester, MA 01607-2533

Mailing address

1 Tobias Boland Way
Worcester, MA 01607-2103
Phone (508) 661-9532

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

State licenses

LicenseStateTypeSpecialty
002757CTMDOptometrist
MA 4988MAMDOptometrist
TA2153MDMDOptometrist
4988MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Aucello & Associates, P.C. Optometrist Past Accepting new patients
Dr. Aucello & Associates, P.C. Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1073779948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TOBIAS BOLAND WAY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016072103",
            "telephone_number": "508-661-9532",
            "fax_number": "410-944-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TOBIAS BOLAND WAY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016072533",
            "telephone_number": "508-661-9532",
            "fax_number": "410-944-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANG",
        "first_name": "LINH",
        "middle_name": "THUY THI",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002757",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2153",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA 4988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.