Individual
PHUONG DOAN TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
545 UNION AVE, FRAMINGHAM, MA 01702-5819
(508) 875-9636
(508) 875-3770
Mailing address
545 UNION AVE, FRAMINGHAM, MA 01702-5819
(508) 875-9636
(508) 875-3770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002678
CT
152W00000X
Optometrist
4545
MA
152W00000X
Optometrist
Primary
OPT4545
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708844
—
MA
01
—
132152
AETNA
MA
01
—
53944
DAVIS VISION
MA
01
—
MA 4545
EYEMED
MA
Enumeration date
06/14/2006
Last updated
04/08/2023
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