Organization Active NPI

Iexam Optometry, PC

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1053679522
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9688T Issued in CA
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

Updated by the provider on Jan 7, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SD0096880MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.