Individual provider Active NPI

Thi Truong Le, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1124025911
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6682T Issued in TX
Practice address
1206 W 38TH St
1204A
Austin, TX 78705-1018
Phone
(512) 454-1900
Fax
(512) 206-4402
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6682T TX Primary

Addresses

Primary practice location

1206 W 38TH St
1204A
Austin, TX 78705-1018

Mailing address

1206 W 38TH St
1204A
Austin, TX 78705-1018
Phone (512) 454-1900

Other names 1

  • Dr. Thi Dieu Truong Other name

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

State licenses

LicenseStateTypeSpecialty
6682TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1124025911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W 38TH ST",
            "address_2": "1204A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051018",
            "telephone_number": "512-454-1900",
            "fax_number": "512-206-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W 38TH ST",
            "address_2": "1204A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051018",
            "telephone_number": "512-454-1900",
            "fax_number": "512-206-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THI",
        "middle_name": "TRUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6682T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THI",
            "last_name": "TRUONG",
            "middle_name": "DIEU",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.