Individual provider Active NPI

Trina Lau Cheng, O.D.

  • Optometrist
  • Gold Canyon, AZ
National Provider Identifier
1295761278
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1385 Issued in AZ
Practice address
6900 E US Highway 60
118
Gold Canyon, AZ 85118-7443
Phone
(480) 474-2020
Fax
(480) 474-8787
NPI assigned
Jun 23, 2006
Last updated
Nov 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1385 AZ Primary

Addresses

Primary practice location

6900 E US Highway 60
118
Gold Canyon, AZ 85118-7443

Mailing address

6900 E US Highway 60
118
Gold Canyon, AZ 85118-7443
Phone (480) 474-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000338 AZ Practitioner - Optometry 7012964109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Canyon Eye Center PLLCGroup PAC ID 2062597917, 2 clinicians

Practice addresses (Care Compare)

6900 E US Hwy 60
Suite 118
Gold Canyon, AZ 85118-7445
Phone (480) 474-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1385AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Canyon Eye Center, PLLC Optometrist CurrentSince Jan 15, 2008 Accepting new patients
Desert Eye, PC Optometrist CurrentSince Sep 14, 2010 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

6900 E US Highway 60
Ste 118
Gold Canyon, AZ 85118
Phone (480) 474-2020

3200 S Rural Rd
Ste 1
Tempe, AZ 85282
Phone (480) 966-0522

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1295761278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E US HIGHWAY 60",
            "address_2": "118",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851187443",
            "telephone_number": "480-474-2020",
            "fax_number": "480-474-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E US HIGHWAY 60",
            "address_2": "118",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851187443",
            "telephone_number": "480-474-2020",
            "fax_number": "480-474-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "TRINA",
        "middle_name": "LAU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

Verify at the official NPI Registry.