Individual provider Active NPI

Mindy Dieuminh Trinh, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1962555789
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12629 Issued in CA
Practice address
3257 S White Rd
San Jose, CA 95148-4056
Phone
(408) 238-9696
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12629 CA Primary

Addresses

Primary practice location

3257 S White Rd
San Jose, CA 95148-4056

Mailing address

3257 S White Rd
San Jose, CA 95148-4056
Phone (408) 238-9696

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081217000247 CA Practitioner - Optometry 3577625052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3257 S White Rd
San Jose, CA 95148-4056
Phone (408) 238-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12629CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy D. Trinh OD Inc Optometrist CurrentSince May 8, 2008 Accepting new patients
Norma J. Levingston, O.D., Inc. Optometrist PastSince Jul 24, 2008 Accepting new patients

Locations

3257 S White Rd
San Jose, CA 95148
Phone (408) 238-9696

Organizations & group practices 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1962555789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 S WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484056",
            "telephone_number": "408-238-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 S WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484056",
            "telephone_number": "408-238-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "MINDY",
        "middle_name": "DIEUMINH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.