Provider Demographics
NPI:1942210034
Name:TRIEU, MY-HANH (OD)
Entity Type:Individual
Prefix:DR
First Name:MY-HANH
Middle Name:
Last Name:TRIEU
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 1:6015A WILSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1503
Mailing Address - Country:US
Mailing Address - Phone:703-534-8801
Mailing Address - Fax:703-534-8803
Practice Address - Street 1:6015A WILSON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-1503
Practice Address - Country:US
Practice Address - Phone:703-534-8801
Practice Address - Fax:703-534-8803
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000725152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA44447OtherDAVIS VISION
VA06-1717457OtherALL AETNA PLANS
VA06-1717457OtherPHCS PPO
VA06-1717457OtherNCAS
VA137406OtherANTHEM PPO, HMO
VAJ254OtherCAREFIRST BCBS PPO
VAVA2285OtherEYEMED
VA17591OtherCOLE MANAGED VISION
VA269475OtherALLIANCE, UNITED HC, MAMS
VA31691OtherAVESIS
VA487248OtherNATIONAL VISION ADMINISTR
VAVA02285OtherVISION BENEFIT OF AMERICA
VA06-1717457OtherSUPERIOR VISION SERVICES
VA469475OtherMDIPA, MAMSI, OPTIMUM CHO
VA1202001OtherALLIED EYECARE
VATE23963OtherSPECTERA
VA06-1717457OtherGEMGROUP
VA10051304Medicaid
VA469475OtherMDIPA, MAMSI, OPTIMUM CHO