Organization Active NPI

Mayfair Vision Center LLC

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1124913876
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAYFAIR VISION CENTER LLC
Practice address
6420 Frankford Ave Unit 7
Philadelphia, PA 19135-3039
Phone
(215) 214-5152
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Dr. Tu X Dinh, ODNPI 1750543799
Title
Optometrist
Phone
(215) 391-3811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6420 Frankford Ave Unit 7
Philadelphia, PA 19135-3039

Mailing address

6420 Frankford Ave Unit 7
Philadelphia, PA 19135-3039
Phone (215) 214-5152

Other identifiers 1

IdentifierTypeStateIssuer
104497450-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910001140 PA Part B Supplier - Clinic/Group Practice 3678076361 Receives reassigned benefits from 8 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

6420 Frankford Ave
Unit 7
Philadelphia, PA 19135
Phone (215) 214-5152

6402 Frankford Ave
Unit 7
Philadelphia, PA 19135

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1124913876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 FRANKFORD AVE UNIT 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353039",
            "telephone_number": "215-214-5152",
            "fax_number": "215-214-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 FRANKFORD AVE UNIT 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353039",
            "telephone_number": "215-214-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-391-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104497450-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.