Individual provider Active NPI

Trinh T Vo-Nguyen, O.D.

  • Optometrist
  • Mobile, AL
National Provider Identifier
1548510571
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C95-TA-940 Issued in AL
Practice address
9751 Airport Blvd Ste B
Mobile, AL 36608-9521
Phone
(251) 880-2020
NPI assigned
Sep 18, 2012
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 S-C95-TA-940 AL Primary

Addresses

Primary practice location

9751 Airport Blvd Ste B
Mobile, AL 36608-9521

Mailing address

9751 Airport Blvd Ste B
Mobile, AL 36608-9521
Phone (251) 880-2020

Other identifiers 1

IdentifierTypeStateIssuer
272083MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Contact@tvoeyecare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20121029000479 AL Practitioner - Optometry 4082864061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9751 Airport Blvd
Suite B
Mobile, AL 36608-9521
Phone (251) 880-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Visionary Optometrist Optometrist CurrentSince May 25, 2021 Accepting new patients

Locations

9751 Airport Blvd
#B
Mobile, AL 36608
Phone (251) 880-2020

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, 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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1548510571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 AIRPORT BLVD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089521",
            "telephone_number": "251-880-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 AIRPORT BLVD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089521",
            "telephone_number": "251-880-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO-NGUYEN",
        "first_name": "TRINH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C95-TA-940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272083",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Contact@tvoeyecare.com",
            "affiliation": "N",
            "address_1": "9751 Airport Blvd Ste B",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366089521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.