Active NPI
Lili Trieu, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1174743553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006259
- Practice address
- 110 E 40TH St
Suite 601
New York, NY 10016-1801 - Phone
- (212) 490-3937
- NPI assigned
- Apr 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 006259 | NY | Primary |
| Optometrist | 152W00000X | 002690 | CT |
Addresses
Primary practice location
110 E 40TH St
Suite 601
New York, NY 10016-1801
Mailing address
110 E 40TH St
Suite 601
New York, NY 10016-1801
Phone (212) 490-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002690 | Other | CT | LICENSE NUMBER |
| 006259 | Other | NY | LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002690 | CT | MD | Clinical Psychologist |
| 006259 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1174743553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 40TH ST",
"address_2": "SUITE 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161801",
"telephone_number": "212-490-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 40TH ST",
"address_2": "SUITE 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161801",
"telephone_number": "212-490-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIEU",
"first_name": "LILI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "006259",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002690",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "002690",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "006259",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.