Individual provider Active NPI

Emily Trinh Nguyen, OD

  • Optometrist
  • Lynnwood, WA
National Provider Identifier
1972331395
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61575653 Issued in WA
Practice address
16006 Ash Way Ste 101
Lynnwood, WA 98087-6352
Phone
(425) 787-5200
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61575653 WA Primary

Addresses

Primary practice location

16006 Ash Way Ste 101
Lynnwood, WA 98087-6352

Mailing address

3409 SE 170TH Ave
Vancouver, WA 98683-1425
Phone (971) 269-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2025 through Feb 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61575653WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Vision Therapy and Development PLLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

16006 Ash Way
Ste 101
Lynnwood, WA 98087
Phone (425) 787-5200

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1972331395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 SE 170TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831425",
            "telephone_number": "971-269-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16006 ASH WAY STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876352",
            "telephone_number": "425-787-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "EMILY",
        "middle_name": "TRINH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61575653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.