Active NPI
Iexam Optometry, PC
- Optometrist
- Garden Grove, CA
National Provider Identifier
1053679522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9688T
- Legal business name
- IEXAM OPTOMETRY, PC
- Practice address
- 9856 Westminster Ave # 125
Garden Grove, CA 92844-2907 - Phone
- (714) 530-0751
- NPI assigned
- May 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Quynh Hoa Truong, O.D.
- Title
- President
- Phone
- (714) 530-0751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9688T | CA | Primary |
Addresses
Primary practice location
9856 Westminster Ave # 125
Garden Grove, CA 92844-2907
Mailing address
9865 Westminster Ave #126
Garden Grove, CA 92844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0096880 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
9865 Westminster Ave 126
Garden Grove, CA 92844
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Garden Grove, CA
- NPI 1093208985
-
- Optometrist
- Garden Grove, CA
- NPI 1063579688
-
- Optometrist
- Costa Mesa, CA
- NPI 1245733476
-
- Low Vision Rehabilitation Optometrist
- Long Beach, CA
- NPI 1790165793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389052800000",
"number": "1053679522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9865 WESTMINSTER AVE #126",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "92844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9856 WESTMINSTER AVE # 125",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442907",
"telephone_number": "714-530-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IEXAM OPTOMETRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-02",
"last_updated": "2014-01-07",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "QUYNH HOA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-530-0751",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "9688T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0096880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.