Individual provider Active NPI

Lisa Trinh, O.D.

  • Optometrist
  • Mays Landing, NJ
National Provider Identifier
1609164128
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00632600 Issued in NJ
Practice address
4403 Black Horse Pike
129 Hamilton Mall
Mays Landing, NJ 08330-3103
Phone
(609) 484-0060
Fax
(609) 484-0205
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00632600 NJ Primary

Addresses

Primary practice location

4403 Black Horse Pike
129 Hamilton Mall
Mays Landing, NJ 08330-3103

Mailing address

4403 Black Horse Pike
129 Hamilton Mall
Mays Landing, NJ 08330-3103
Phone (609) 484-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00632600NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1609164128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 BLACK HORSE PIKE",
            "address_2": "129 HAMILTON MALL",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303103",
            "telephone_number": "609-484-0060",
            "fax_number": "609-484-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 BLACK HORSE PIKE",
            "address_2": "129 HAMILTON MALL",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303103",
            "telephone_number": "609-484-0060",
            "fax_number": "609-484-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "LISA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00632600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.