Tan Truong OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TAN TRUONG OD INC

Doing business as

IMAGINE Optometry

Practice address

3860 Fallon Rd
Dublin, CA 94568-4277

Phone

(510) 717-4462

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tan N Truong, OD, MPH, PHD

Title

Owner & President

Phone

(510) 717-4462

Specialties & licenses 1

Addresses

Other names 1

• IMAGINE Optometry Doing business as

Locations

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1033653449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 FALLON RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684277",
            "telephone_number": "510-717-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 FALLON RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684277",
            "telephone_number": "510-717-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN TRUONG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "510-717-4462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MPH, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGINE Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bolale Tairu-Caswell, P.T.
• Rubena Taj
• Kevin Takao, MPT
• Wing Shan Tam, RD
• Tamara Muhler (Word Works)
• Miwako M Tan, MT-BC
• Pauline Anne Tanael
• Nancy Zhining Tang, M.D.
• Vijaya Tangirala
• Hiral Amin Tank, MD

• Optometrist in Dublin, CA
• Providers in Dublin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.