NPIMap

Organization Active NPI

Trinh Family Optometric Corporation

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1679948467
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13784 Issued in CA
Legal business name
TRINH FAMILY OPTOMETRIC CORPORATION
Practice address
7119 Elk Grove Blvd
Suite 123
Elk Grove, CA 95758-9568
Phone
(916) 683-5670
NPI assigned
Dec 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
Dr. Thanh Trinh, O.D.NPI 1649409996
Title
Ceo
Phone
(916) 730-5964

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other names 1

  • Eye Place Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160113003033 CA Part B Supplier - Clinic/Group Practice 9335441914 Receives reassigned benefits from 2 practitioners
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1449360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1679948467",
    "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": {
        "organization_name": "TRINH FAMILY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-730-5964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Place Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; 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.