Active NPI
Baotram Phuong Truong, O.D.
- Optometrist
- Austin, TX
National Provider Identifier
1245478155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7140TG
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7140TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Family Vision | Optometrist | Current | Accepting new patients |
| Pflugerville Family Vision PLLC | Optometrist | Current | 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.
-
- Optometrist
- Pflugerville, TX
- NPI 1871363200
-
- Optometrist
- Austin, TX
- NPI 1003144692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.