Active NPI
Trinh Tu Nguyen, O.D.
- Optometrist
- Monroe, WA
National Provider Identifier
1184727554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3740
- Practice address
- 101 E Main St Ste 107
Monroe, WA 98272-1519 - Phone
- (360) 794-5941
- Fax
- (360) 805-9537
- NPI assigned
- Sep 7, 2006
- 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 | 3740 | WA | Primary |
Addresses
Primary practice location
101 E Main St Ste 107
Monroe, WA 98272-1519
Mailing address
914 164TH St SE # 485
Mill Creek, WA 98012-6385
Phone (425) 750-2911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010NG | Other | WA | REGENCE RYDER ID |
| 2030583 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3740 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahrens Valley Eyeworks | Past | Accepting new patients | |
| Northwest Eye Care, P.S. | 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.
-
- Optometrist
- Renton, WA
- NPI 1124451513
-
- Clinic/Center
- Monroe, WA
- NPI 1417123472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184727554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 164TH ST SE # 485",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980126385",
"telephone_number": "425-750-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MAIN ST STE 107",
"city": "MONROE",
"state": "WA",
"postal_code": "982721519",
"telephone_number": "360-794-5941",
"fax_number": "360-805-9537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRINH",
"middle_name": "TU",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RYDER ID",
"identifier": "1010NG",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030583",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.