Organization
MY-HANH TRIEU OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MY-HANH TRIEU O.D. (PRESIDENT)
(703) 534-8801
Entity
Organization
Contact information
Practice address
6015A WILSON BLVD, ARLINGTON, VA 22205-1503
(703) 534-8801
(703) 534-8803
Mailing address
6015A WILSON BLVD, ARLINGTON, VA 22205-1503
(703) 534-8801
(703) 534-8803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WX0102X
Occupational Vision Optometrist
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10051304
—
VA
01
—
1202001
ALLIED EYECARE
VA
01
—
137406
ANTHEM PPO, HMO
VA
01
—
31691
AVESIS
VA
01
—
44447
DAVIS VISION
VA
01
—
469475
MAMSI,MDIPA,UNITED HC,
VA
01
—
487248
NVA
VA
01
—
J254
BCBS PPO
VA
01
—
TE23963
SPECTERA
VA
01
—
VA02285
VISION BENEFIT OF AMERICA
VA
01
—
VA2285
EYEMED
VA
Enumeration date
05/17/2007
Last updated
11/12/2009
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