Healthcare Provider Details
I. General information
NPI: 1215794755
Provider Name (Legal Business Name): DR LINDA TRINH OD AND ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2024
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9828 W NORTHERN AVE STE 1730
PEORIA AZ
85345-4618
US
IV. Provider business mailing address
7650 W BELL RD STE 3
GLENDALE AZ
85308-8619
US
V. Phone/Fax
- Phone: 623-877-0701
- Fax: 623-877-8405
- Phone: 623-334-3584
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
THI
TRINH
Title or Position: OWNER
Credential: OD
Phone: 623-877-0701