Individual provider Active NPI

Dieu Nga Truong, O.D.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1295800696
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10459T Issued in CA
Practice address
14251 Euclid St
#F101
Garden Grove, CA 92843-4957
Phone
(714) 265-2197
Fax
(714) 265-2411
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10459T CA Primary

Addresses

Primary practice location

14251 Euclid St
#F101
Garden Grove, CA 92843-4957

Mailing address

7 Olinda
Irvine, CA 92602-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191014003147 CA Order and Referring Only - OptometryPractitioner - Optometry 9830326313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10459TCAMDOptometrist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Huong Pham Optometry Corporation Past Accepting new patients
Dieu Nga Truong & Tra Mi Truong Optometry Inc Optometrist PastSince Apr 24, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295800696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLINDA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251 EUCLID ST",
            "address_2": "#F101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434957",
            "telephone_number": "714-265-2197",
            "fax_number": "714-265-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DIEU NGA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10459T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.