Provider Demographics
NPI:1598041188
Name:TRINH, TOAN M (OD)
Entity Type:Individual
Prefix:DR
First Name:TOAN
Middle Name:M
Last Name:TRINH
Suffix:
Gender:M
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:C CO, 302D, BSB, ATTN: TMC
Mailing Address - Street 2:UNIT #: 15609
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USAHC CAMP CASEY
Practice Address - Street 2:629TH MEDICAL COMPANY (AS) UNIT# 15609
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96224-5093
Practice Address - Country:US
Practice Address - Phone:315-730-6349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002535152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist