Individual provider Active NPI

Bryan Truong, OD

  • Optometrist
  • Lithia Springs, GA
National Provider Identifier
1225559362
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003005 Issued in GA
Practice address
880 Crestmark Dr Ste 101
Lithia Springs, GA 30122-2646
Phone
(770) 948-0036
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003005 GA Primary

Addresses

Primary practice location

880 Crestmark Dr Ste 101
Lithia Springs, GA 30122-2646

Mailing address

1160 Hammond Dr Unit 73
Sandy Springs, GA 30328-5476
Phone (901) 652-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20171014000439 GA Practitioner - Optometry 1951676139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Tulman OD PCGroup PAC ID 8426961194, 5 clinicians

Practice addresses (Care Compare)

880 Crestmark Dr
Suite 101
Lithia Springs, GA 30122-2646
Phone (770) 948-0036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tulman Eye Group, PC Optometrist CurrentSince Jul 20, 2017 Accepting new patients

Locations

880 Crestmark Dr
Lithia Springs, GA 30122

880 Crestmark Dr
Ste 101
Lithia Springs, GA 30122
Phone (770) 948-0036

Interoperability endpoints

  • Direct secure messaging: btruong@tulmaneyegroup.eyefinity-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1225559362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HAMMOND DR UNIT 73",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285476",
            "telephone_number": "901-652-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CRESTMARK DR STE 101",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222646",
            "telephone_number": "770-948-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.