Cindy Trinh Wilde, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 12121 TPA Issued in CA

Practice address

23600 Telo Ave Ste 100
Torrance, CA 90505-4036

Phone

(310) 543-2611

NPI assigned

Oct 16, 2006

Last updated

Oct 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolstan and Goldberg Eye Associates Inc a Medical CorporatonGroup PAC ID 9234266776, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wolstan & Goldberg Eye Associates Inc a Medical Corporaton

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1285860445
  Medicare reassignment Care Compare group NPD
• Wolstan & Goldberg Eye Associates Inc., a Medical Corporaton

  • Eyewear Supplier
  • Torrance, CA
  • NPI 1669702288
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1912087818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054036",
            "telephone_number": "310-543-2611",
            "fax_number": "310-543-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054036",
            "telephone_number": "310-543-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "CINDY",
        "middle_name": "TRINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12121 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD 0121210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Douglas Wightman, MD
• Tiffany Wiguna, MD
• Karen A Wijana, D.D.S.
• Harriet Janice Wilburne, M.D.
• Alexandra Wilcox, M.S. CCC-SLP
• Kelsey Wilhelm, MD
• Erin E Wilkes, MD, MSHS
• Shanelle Jenae Wilkins
• Wendy Will
• William C. Kim, MD Inc

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.