Individual provider Active NPI

Christine-Thuy Trinh Nguyen-Tran

  • Optometrist
  • Redlands, CA
National Provider Identifier
1275286957
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35080-TLG Issued in CA
Practice address
1020 Nevada St Ste 202
Redlands, CA 92374-2956
Phone
(909) 793-2106
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35080-TLG CA Primary

Addresses

Primary practice location

1020 Nevada St Ste 202
Redlands, CA 92374-2956

Mailing address

3207 Greenvale Cir
Corona, CA 92882-8369
Phone (951) 582-1188

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

LicenseStateTypeSpecialty
OPT35080-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Redlands Optometry Group Inc a Professional Optometric Corporation Optometrist CurrentSince Feb 6, 2022 Accepting new patients

Locations

1020 Nevada St
Ste 202
Redlands, CA 92374
Phone (909) 793-2106

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1275286957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 GREENVALE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828369",
            "telephone_number": "951-582-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 NEVADA ST STE 202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742956",
            "telephone_number": "909-793-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-TRAN",
        "first_name": "CHRISTINE-THUY TRINH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35080-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.