Individual provider Active NPI

David Truong, M.D.

  • Ophthalmology Physician
  • Fort Worth, TX
National Provider Identifier
1013270164
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
U0675 Issued in TX
Practice address
3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5412
Phone
(714) 782-8401
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 251998 MA
Cornea and External Diseases Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0120X U0675 TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X U0675 TX Primary

Addresses

Primary practice location

3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5412

Mailing address

3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190905002596 NM Practitioner - Ophthalmology 5395037543 Reassigns benefits to 2 organizations
I20221206001078 TX Practitioner - Ophthalmology 5395037543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 N Tarrant Pkwy
Suite 104
Fort Worth, TX 76244-5412
Phone (714) 782-8401

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
251998MAMDOphthalmology Physician
U0675TXMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Truong MD PLLC Multi-Specialty CurrentSince Nov 16, 2022 Accepting new patients
Southwest Eyecare Specialists P C Multi-Specialty CurrentSince Mar 31, 2021 Accepting new patients

Locations

7110 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 241-5461

5203 Heritage Ave
Colleyville, TX 76034
Phone (817) 399-8783

3900 North Tarrant Pkwy
Ste 104
Fort Worth, TX 76244
Phone (682) 223-1406

2001 Cooper St
Ft Worth, TX 76104
Phone (817) 334-0990

Interoperability endpoints

  • Direct secure messaging: david.truong.p2@direct.gvg.nextgenshare.com
  • Direct secure messaging: dtruong277685@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1013270164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N TARRANT PKWY STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N TARRANT PKWY STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445412",
            "telephone_number": "714-782-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "251998",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "U0675",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U0675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.