Provider Demographics
NPI:1457984056
Name:LE, TRINITY THUY (OD)
Entity Type:Individual
Prefix:
First Name:TRINITY
Middle Name:THUY
Last Name:LE
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 1:3598 E FELIX BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-1962
Mailing Address - Country:US
Mailing Address - Phone:714-837-9834
Mailing Address - Fax:
Practice Address - Street 1:18680 S NOGALES HWY
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85614-8561
Practice Address - Country:US
Practice Address - Phone:520-625-7949
Practice Address - Fax:520-625-7951
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002417152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist