MEDICARE: DR. ANH D TRINH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6471TG	TX

General Provider Information

NPI Number	:	1497059091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANH D TRINH O.D.

Provider Business Mailing Address
First Line	:	26211 MIDDLECREST HILL CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-5969
Country	:	US
Telephone Number	:	832-483-3324
Fax Number	:	972-692-8992

Provider Business Practice Location Address
First Line	:	7111 MARVIN D LOVE FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-3106
Country	:	US
Telephone Number	:	972-298-5379
Fax Number	:	972-692-8992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2010
Last Update Date	:	05/09/2016

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