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

Organization subpart

No

Name

Thuy Tam TruongNPI 1467756874

Title

Optometrist

Phone

(770) 559-9670

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thuy Tam Truong, O.D

  • Optometrist
  • Lawrenceville, GA
  • NPI 1467756874

  GA, Optometrist

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2023.

{
    "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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• 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

• All providers in Lawrenceville, GA
• 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.