Anhthy Trinh Prendeville, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4804 Issued in MA

Practice address

72 Central Street
Wellesley, MA 02482-5806

Phone

(617) 884-1222

NPI assigned

Jul 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Anhthy Hoang Trinh Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anhthy Prendeville OD LLC

  • Optometrist
  • Wellesley, MA
  • NPI 1922959618

  MA, Optometrist

  Medicare reassignment NPD Authorized official
• Anna Cressey OD, LLC

  • Corneal and Contact Management Optometrist
  • Wellesley, MA
  • NPI 1366718462

  MA

  Medicare reassignment NPD
• Clarity Optical

  • Eyewear Supplier
  • Wellesley, MA
  • NPI 1306790134
  NPD (past)

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1306159033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 OAK KNOLL ROAD",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "01741",
            "telephone_number": "314-368-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CENTRAL STREET",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825806",
            "telephone_number": "617-884-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDEVILLE",
        "first_name": "ANHTHY",
        "middle_name": "TRINH",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANHTHY",
            "last_name": "TRINH",
            "middle_name": "HOANG",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pratt Medical Group, Inc
• Premier Dental Group of Wellesley, P.C.
• Premier Dermatology, PLLC
• Premier Medical Associates
• Premier Vision Consultants, LLC
• Primary Care Pediatrics
• Alex T Prior, LICSW
• Patricia A Prior, MSW
• Stephen Prior, PSY.D.
• Private Health Care Group, LLC

• All providers in Wellesley, MA
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.