Susan Truong Cervantes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 12923 Issued in CA

Practice address

1662 Main St Ste B
Ramona, CA 92065-5231

Phone

(760) 788-3622

Fax

(760) 788-4781

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Thao Dieu Truong Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cervantes Optometric CorporationGroup PAC ID 8123187952, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cervantes Optometric Corporation

  • Optometrist
  • Ramona, CA
  • NPI 1750536207
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1164423240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 MAIN ST STE B",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655231",
            "telephone_number": "760-788-3622",
            "fax_number": "760-788-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 MAIN ST STE B",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655231",
            "telephone_number": "760-788-3622",
            "fax_number": "760-788-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "SUSAN",
        "middle_name": "TRUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAO",
            "last_name": "TRUONG",
            "middle_name": "DIEU",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Timothy Cassidy, PT
• Siarah Marie Castillo
• Catch a Bubble Counseling Licensed Clinical Social Worker Apc
• Catch a Bubble Counseling, Licensed Clinical Social Worker, Apc
• Cervantes Optometric Corporation
• Changing Options SD, Inc.
• Janessa Chase, MSW, ACSW
• Matthew Wayne Chew, HHP
• Mark B Chintala, DDS
• Community Housing Providers, LLC

• Optometrist in Ramona, CA
• Providers in Ramona, 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, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.