Individual provider Active NPI

Truc Ly Nguyen Tran, O.D.

  • Optometrist
  • Madison, NC
National Provider Identifier
1285986927
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2345 Issued in NC
Practice address
714 Highway St
Madison, NC 27025-1508
Phone
(336) 427-2020
NPI assigned
Oct 4, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2345 NC Primary

Addresses

Primary practice location

714 Highway St
Madison, NC 27025-1508

Mailing address

1027 S Main St
Kernersville, NC 27284-8186

Other practice location 1

1027 S Main St
Kernersville, NC 27284-8186
Phone (336) 996-8860

Other names 1

  • Dr. Truc Ly T Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20131212000936 NC Practitioner - Optometry 5597992826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, shared by 4 NPIs, 71 clinicians

Practice addresses (Care Compare)

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 785-3486

500 W 4TH St
Suite 102
Winston Salem, NC 27101-2782
Phone (336) 837-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2345NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Feb 20, 2016 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Jun 10, 2020 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jun 10, 2020 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Feb 20, 2016 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Jun 10, 2020 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020

714 Highway St
Madison, NC 27025
Phone (336) 427-2020

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

3001 Raleigh Rd W
Wilson, NC 27896
Phone (252) 291-0767

2630 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 785-3486

500 W 4th St
Winston Salem, NC 27101
Phone (336) 723-1140

500 W 4th St
Ste 102
Winston Salem, NC 27101
Phone (336) 837-3937

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: truclytran@direct.eyecare-partners.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285986927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HIGHWAY ST",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270251508",
            "telephone_number": "336-427-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 S Main St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272848186",
            "country_code": "US",
            "telephone_number": "336-996-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TRUC LY",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUC LY",
            "last_name": "NGUYEN",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, NC

Sources for this page

Verify at the official NPI Registry.