Individual provider Active NPI

Lana Ngoc Lan Trinh, O.D.

  • Optometrist
  • Portland, OR
National Provider Identifier
1780969832
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3557ATI Issued in OR
Practice address
1962 SW Broadway
Portland, OR 97201-6710
Phone
(503) 267-3228
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3557ATI OR Primary

Addresses

Primary practice location

1962 SW Broadway
Portland, OR 97201-6710

Mailing address

1962 SW Broadway
Portland, OR 97201-6710
Phone (503) 227-0632

Other names 1

  • Dr. Lan Thi Trinh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141210001784 OR Practitioner - Optometry 0840512448 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3557ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Oregon Professional LLC Optometrist CurrentSince Mar 5, 2024 Accepting new patients
Dr. Han Tran & Associates, P.C. Optometrist CurrentSince Jun 25, 2019 Accepting new patients
Dr. Lana Trinh & Associates, LLC Optometrist Current Accepting new patients
Dr. Han Tran & Associates, P.C. CurrentSince Jun 25, 2019 Accepting new patients
Broadway Vision World Optometrist Past Accepting new patients
Parkrose Vision, LLC PastSince May 26, 2024 Accepting new patients

Locations

8136 SE Foster Rd
Ste 260
Portland, OR 97206
Phone (503) 546-4460

12000 SE 82nd Ave
Ste 2012
Portland, OR 97086
Phone (503) 652-1788

Organizations & group practices 6

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1780969832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 SW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972016710",
            "telephone_number": "503-227-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 SW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972016710",
            "telephone_number": "503-267-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "LANA",
        "middle_name": "NGOC LAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3557ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAN",
            "last_name": "TRINH",
            "middle_name": "THI",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.