Sugarloaf Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUGARLOAF VISION CENTER LLC

Practice address

1689 Duluth Hwy
Lawrenceville, GA 30043-5010

Phone

(770) 559-9670

Fax

(470) 375-3245

NPI assigned

Nov 19, 2015

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thuy Tam TruongNPI 1467756874

Title

Optometrist

Phone

(770) 559-9670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thuy Tam Truong, O.D

  • Optometrist
  • Lawrenceville, GA
  • NPI 1467756874
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1194199729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 DULUTH HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435010",
            "telephone_number": "770-559-9670",
            "fax_number": "470-375-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 DULUTH HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435010",
            "telephone_number": "770-559-9670",
            "fax_number": "470-375-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLOAF VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "THUY TAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-559-9670"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sugarloaf Pkwy Pharmacy Inc. (Sugarloaf Parkway Pharmacy Inc.)
• Sugarloaf Spine & Rehab Inc
• Neeta Dattoba Sukthanker, MD
• Alana Corwin Sulka, MPH,RN,CPH,CIC
• Beth Ann Sullivan, DO
• Eva Lukkonen Sullivan, MM MA CCC-SLP
• Shafqat Sultana, FNP

• Optometrist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.