Individual provider Active NPI

Thanh Tu Trinh I, O.D.

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1649409996
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13784 Issued in CA
Practice address
7119 Elk Grove Blvd
Suite 123
Elk Grove, CA 95758-9568
Phone
(916) 683-5670
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13784 CA Primary

Addresses

Primary practice location

7119 Elk Grove Blvd
Suite 123
Elk Grove, CA 95758-9568

Mailing address

7119 Elk Grove Blvd
Suite 123
Elk Grove, CA 95758-9568
Phone (916) 683-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091222000518 CA Practitioner - Optometry 2365582384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinh Family Optometric CorporationGroup PAC ID 9335441914, 2 clinicians

Practice addresses (Care Compare)

7119 Elk Grove Blvd
Suite 123
Elk Grove, CA 95758-9568
Phone (916) 683-5670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinh Family Optometric Corporation Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

7119 Elk Grove Blvd
Ste 123
Elk Grove, CA 95758
Phone (916) 478-2778

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1649409996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 ELK GROVE BLVD",
            "address_2": "SUITE 123",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589568",
            "telephone_number": "916-683-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 ELK GROVE BLVD",
            "address_2": "SUITE 123",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589568",
            "telephone_number": "916-683-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "THANH",
        "middle_name": "TU",
        "name_suffix": "I",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.