Individual provider Active NPI

Khanh Nghi Trinh, O.D.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1811201916
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1601-634T Issued in LA
Practice address
12656 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone
(225) 751-4100
Fax
(225) 751-4103
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1601-634T LA Primary

Addresses

Primary practice location

12656 Jefferson Hwy
Baton Rouge, LA 70816-6240

Mailing address

12656 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone (225) 751-4100

Other practice location 1

950 E Washington St
Baton Rouge, LA 70802-6622
Phone (225) 751-4100

Other identifiers 2

IdentifierTypeStateIssuer
2128591MedicaidLA
1601-634TOtherLALOUISIANA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101103000429 LA Practitioner - Optometry 8325232341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Eye CenterGroup PAC ID 9335131192, 19 clinicians

Practice addresses (Care Compare)

550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601-634TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Eye Center Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Dr. Smith'S Eye Care & Optical LTD Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Williamson Eye Center Optometrist Current Accepting new patients
Williamson Eye Center Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Cenla Vision Source, LLC Optometrist PastSince Nov 10, 2024 Accepting new patients
Jonathan M. Levy, DPM, PC Past Accepting new patients
Williamson Eye Center Optometrist Past Accepting new patients
Williamson Eye Center Optometrist Past Accepting new patients

Locations

9001 Summa Ave
Ste 245
Baton Rouge, LA 70809
Phone (225) 490-5299

550 Connell Park Ln
Baton Rouge, LA 70806
Phone (225) 924-2020

550 Connell Park Ln
Ste A
Baton Rouge, LA 70806

9001 Summa Ave
Baton Rouge, LA 70809

12656 Jefferson Hwy
Baton Rouge, LA 70816
Phone (225) 751-4100

2290 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2019

2308 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-7525

230 Roberts Dr
Ste J
New Roads, LA 70760
Phone (225) 618-0088

5233 Main St
Ste A
Zachary, LA 70791
Phone (225) 654-0090

Interoperability endpoints

  • Direct secure messaging: knt@williamsoneye.emadirect.md

Organizations & group practices 8

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1811201916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166240",
            "telephone_number": "225-751-4100",
            "fax_number": "225-751-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166240",
            "telephone_number": "225-751-4100",
            "fax_number": "225-751-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708026622",
            "country_code": "US",
            "telephone_number": "225-751-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRINH",
        "first_name": "KHANH",
        "middle_name": "NGHI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1601-634T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128591",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE LICENSE",
            "identifier": "1601-634T",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.