Provider Demographics
NPI:1235594938
Name:TRINH, LINDA THI (OD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:THI
Last Name:TRINH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9780 W NORTHERN AVE STE 1120
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-4607
Mailing Address - Country:US
Mailing Address - Phone:623-877-0701
Mailing Address - Fax:623-877-8405
Practice Address - Street 1:9780 W NORTHERN AVE STE 1120
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-4607
Practice Address - Country:US
Practice Address - Phone:623-877-0701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2099152W00000X
AZ#2099152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist