Active NPI
Bryan Truong, OD
- Optometrist
- Lithia Springs, GA
National Provider Identifier
1225559362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
880 Crestmark Dr
Suite 101
Lithia Springs, GA 30122-2646
Phone (770) 948-0036
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulman Eye Group, PC | Optometrist | Current | 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
- 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
- Tineka Thompson, M.S. CCC-SLP
- Thumbs-Up Transportation
- Tiffany Ringfield (Cornerstone Chiropractic of Lithia Springs)
- Keyonna Tillman, CD
- TLD Labs LLC
- David Herbert Tucker, PHARMD
- Tulman Eye Group, PC (Tulman Eye Group)
- Daniel Tulman, OD
- Bianca Carrie Catherine Tyler, PT, DPT
- Olivia Uju Ubbaonu, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.