Daniel Cao Truong OD, PC

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

Organization subpart

No

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

Authorized official

Name

Daniel Cao Truong, OD

Title

Optometrist

Phone

(618) 972-0753

Specialties & licenses 1

Addresses

Locations

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": []
}

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• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• 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.