Organization Active NPI

Daniel Cao Truong OD, PC

  • Optometrist
  • Peoria, IL
National Provider Identifier
1285960625
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009742 Issued in IL
Legal business name
DANIEL CAO TRUONG OD, PC
Practice address
8915 N Allen Rd
Peoria, IL 61615-1534
Phone
(309) 693-9873
NPI assigned
Oct 20, 2009
Last updated
Oct 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Daniel Cao Truong, ODNPI 1396765046
Title
Optometrist
Phone
(618) 972-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046009742 IL Primary

Addresses

Primary practice location

8915 N Allen Rd
Peoria, IL 61615-1534

Mailing address

8915 N Allen Rd
Peoria, IL 61615-1534
Phone (309) 693-9873

National Provider Directory

National Provider Directory

Locations

8915 N Allen Rd
Peoria, IL 61615
Phone (309) 693-6873

1980 Freedom Pkwy
Washington, IL 61571
Phone (309) 745-3470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1285960625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 N ALLEN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151534",
            "telephone_number": "309-693-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 N ALLEN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151534",
            "telephone_number": "309-693-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL CAO TRUONG OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CAO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "618-972-0753",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.