Individual provider Active NPI

Baotram Phuong Truong, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1245478155
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7140TG Issued in TX
Practice address
1030 Norwood Park Blvd Ste a
Austin, TX 78753-6606
Phone
(512) 491-9707
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7140TG TX Primary

Addresses

Primary practice location

1030 Norwood Park Blvd Ste a
Austin, TX 78753-6606

Mailing address

1030 Norwood Park Blvd Ste a
Austin, TX 78753-6606
Phone (512) 491-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130806000251 TX Practitioner - Optometry 1658513577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1548 FM
Suite 685
Pflugerville, TX 78660-3576
Phone (512) 989-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7140TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Family Vision Optometrist CurrentSince May 15, 2013 Accepting new patients
Pflugerville Family Vision PLLC Optometrist CurrentSince Jan 6, 2024 Accepting new patients

Locations

1030 Norwood Park Blvd
Ste A
Austin, TX 78753
Phone (512) 491-9707

1548 FM 685
Pflugerville, TX 78660
Phone (512) 252-0197

Organizations & group practices 2

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1245478155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NORWOOD PARK BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536606",
            "telephone_number": "512-491-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NORWOOD PARK BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536606",
            "telephone_number": "512-491-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "BAOTRAM",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7140TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.