Active NPI
My-Hanh Trieu OD, Inc.
- Optometrist
- Arlington, VA
National Provider Identifier
1578770525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Occupational Vision Optometrist | 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
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10051304 | Medicaid | VA | |
| 1202001 | Other | VA | ALLIED EYECARE |
| J254 | Other | VA | BCBS PPO |
| 487248 | Other | VA | NVA |
| TE23963 | Other | VA | SPECTERA |
| VA02285 | Other | VA | VISION BENEFIT OF AMERICA |
| VA2285 | Other | VA | EYEMED |
| 137406 | Other | VA | ANTHEM PPO, HMO |
| 44447 | Other | VA | DAVIS VISION |
| 31691 | Other | VA | AVESIS |
| 469475 | Other | VA | MAMSI,MDIPA,UNITED HC, |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040513001561 | DC | Part B Supplier - Clinic/Group Practice | 6204826019 |
Receives reassigned benefits from 1 practitioner Practice locations: Arlington, VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10051304",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED EYECARE",
"identifier": "1202001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO",
"identifier": "J254",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "487248",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "TE23963",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFIT OF AMERICA",
"identifier": "VA02285",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "VA2285",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO, HMO",
"identifier": "137406",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "44447",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "31691",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI,MDIPA,UNITED HC,",
"identifier": "469475",
"state": "VA"
}
],
"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.