Individual provider Active NPI

Trinh Thuy Pham, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1871712299
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD508 Issued in HI
Practice address
1450 Ala Moana Blvd
Ste 3265
Honolulu, HI 96814-4623
Phone
(808) 945-3539
Fax
(808) 949-0380
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD508 HI Primary

Addresses

Primary practice location

1450 Ala Moana Blvd
Ste 3265
Honolulu, HI 96814-4623

Mailing address

1450 Ala Moana Blvd
Ste 3265
Honolulu, HI 96814-4623
Phone (808) 945-3539

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
OD508HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Eyes Optometry, Inc. Optometrist Current Accepting new patients

Locations

1450 Ala Moana Blvd
Ste 3265
Honolulu, HI 96814
Phone (808) 941-1566

Organizations & group practices 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1871712299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ALA MOANA BLVD",
            "address_2": "STE 3265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144623",
            "telephone_number": "808-945-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ALA MOANA BLVD",
            "address_2": "STE 3265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144623",
            "telephone_number": "808-945-3539",
            "fax_number": "808-949-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRINH",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; 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.