Trinh Q. Phan, OD,PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

05495T Issued in TX

Legal business name

TRINH Q. PHAN, OD,PA

Practice address

7401 Samuell Blvd
Dallas, TX 75228-6166

Phone

(214) 319-6883

Fax

(214) 319-6887

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Trinh Q Phan, O.D

Title

President

Phone

(214) 319-6883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1972947463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 SAMUELL BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752286166",
            "telephone_number": "214-319-6883",
            "fax_number": "214-319-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 SAMUELL BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752286166",
            "telephone_number": "214-319-6883",
            "fax_number": "214-319-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINH Q. PHAN, OD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TRINH",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-319-6883",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05495T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trilogy Pharmacy
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• Ruth Trimble
• Clayton Kindel Trimmer, DO
• Trina Bivens MD PA
• Jessie Trinh-Moore, D.M.D.
• Andrew Trinh
• Anh D Trinh, O.D.
• Johnny Trinh, LCSW
• Julie Diep Trinh, PHARM. D

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.