Active NPI
Nancy Y Truong, O.D.
- Optometrist
- Decatur, GA
National Provider Identifier
1003808056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002057
- Practice address
- 2570 Blackmon Dr Ste 350
Decatur, GA 30033-6197 - Phone
- (678) 846-2000
- NPI assigned
- Aug 16, 2005
- Last updated
- Dec 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002057 | GA | Primary |
Addresses
Primary practice location
2570 Blackmon Dr Ste 350
Decatur, GA 30033-6197
Mailing address
1088 Grassmeade CT
Snellville, GA 30078-5501
Phone (770) 330-9250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2200336 | Other | GA | UNITED HEALTHCARE |
| 52025961 | Other | GA | BC&BS |
| 306019142A | Medicaid | GA |
Other names 1
- Dr. Nancy T Ta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T&T Eyes, Inc. | Optometrist | Current | Accepting new patients |
| Mountainview Eye Associates, P.C. | Optometrist | Past | Accepting new patients |
Locations
2570 Blackmon Dr
Ste 350
Decatur, GA 30033
Phone (678) 846-2000
4221 Atlanta Hwy
Loganville, GA 30052
Phone (478) 368-5385
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Tucker, GA
- NPI 1114254125
-
- Optometrist
- Snellville, GA
- NPI 1639344278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671840000000",
"number": "1003808056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 GRASSMEADE CT",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785501",
"telephone_number": "770-330-9250",
"fax_number": "678-212-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 BLACKMON DR STE 350",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336197",
"telephone_number": "678-846-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "NANCY",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2022-12-24",
"certification_date": "2022-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2200336",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC&BS",
"identifier": "52025961",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306019142A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "TA",
"middle_name": "T",
"prefix": "DR.",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.