Provider Demographics
NPI:1871712299
Name:PHAM, TRINH THUY (OD)
Entity type:Individual
Prefix:DR
First Name:TRINH
Middle Name:THUY
Last Name:PHAM
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 1:1450 ALA MOANA BLVD
Mailing Address - Street 2:STE 3265
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4623
Mailing Address - Country:US
Mailing Address - Phone:808-945-3539
Mailing Address - Fax:
Practice Address - Street 1:1450 ALA MOANA BLVD
Practice Address - Street 2:STE 3265
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4623
Practice Address - Country:US
Practice Address - Phone:808-945-3539
Practice Address - Fax:808-949-0380
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD508152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI51846Medicare ID - Type Unspecified