Individual provider Active NPI

Matthew Truong, O.D.

  • Optometrist
  • Forest Grove, OR
National Provider Identifier
1295464790
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4636ATI Issued in OR
Practice address
2043 College Way BLDG 2221
Forest Grove, OR 97116-1756
Phone
(503) 352-2020
NPI assigned
Jun 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4636ATI OR Primary

Addresses

Primary practice location

2043 College Way BLDG 2221
Forest Grove, OR 97116-1756

Mailing address

2043 College Way BLDG 2221
Forest Grove, OR 97116-1756
Phone (503) 352-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220621000889 OR Practitioner - Optometry 2567841661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alberta Eye CareGroup PAC ID 1355575127, 7 clinicians
Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Practice addresses (Care Compare)

2021 NE Alberta St
Portland, OR 97211-5847
Phone (503) 384-2489

2043 College Way
Forest Grove, OR 97116-1756
Phone (503) 352-2756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4636ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific University Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Pacific University Optometrist Current Accepting new patients
Alberta Eye Care Optometrist CurrentSince Jun 5, 2025 Accepting new patients
Pacific University CurrentSince Jul 1, 2022 Accepting new patients

Locations

2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020

2043 College Way
Bldg 2221
Forest Grove, OR 97116
Phone (503) 352-2020

222 SE 8th Ave
#212
Hillsboro, OR 97123
Phone 5033522400 ext. 8060

222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300

8787 N Lombard St
Portland, OR 97203
Phone (503) 406-6761

2021 NE Alberta St
Portland, OR 97211
Phone (503) 384-2489

1411 SW Morrison St
Ste 310
Portland, OR 97205

Interoperability endpoints

  • Direct secure messaging: mtruong586843@direct.ochin.org

Organizations & group practices 4

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1295464790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 COLLEGE WAY BLDG 2221",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161756",
            "telephone_number": "503-352-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 COLLEGE WAY BLDG 2221",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161756",
            "telephone_number": "503-352-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4636ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.