Organization Active NPI

My-Hanh Trieu OD, Inc.

  • Optometrist
  • Arlington, VA
National Provider Identifier
1578770525
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MY-HANH TRIEU OD, INC.
Practice address
6015A Wilson Blvd
Arlington, VA 22205-1503
Phone
(703) 534-8801
Fax
(703) 534-8803
NPI assigned
May 17, 2007
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. My-Hanh Trieu, O.D.NPI 1942210034
Title
President
Phone
(703) 534-8801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X
Eyewear Supplier 332H00000X

Addresses

Primary practice location

6015A Wilson Blvd
Arlington, VA 22205-1503

Mailing address

6015A Wilson Blvd
Arlington, VA 22205-1503
Phone (703) 534-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513001561 DC Part B Supplier - Clinic/Group Practice 6204826019 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

6015A Wilson Blvd
Arlington, VA 22205
Phone (703) 534-8801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1578770525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015A WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051503",
            "telephone_number": "703-534-8801",
            "fax_number": "703-534-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015A WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051503",
            "telephone_number": "703-534-8801",
            "fax_number": "703-534-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY-HANH TRIEU OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "MY-HANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-534-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.