Individual provider Active NPI

Trang Hoang Truong, O.D

  • Optometrist
  • Pearland, TX
National Provider Identifier
1356326508
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TX5798 Issued in TX
Practice address
8321 Broadway St
Suite 124
Pearland, TX 77581-5771
Phone
(281) 485-4435
Fax
(281) 485-4033
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TX5798 TX Primary

Addresses

Primary practice location

8321 Broadway St
Suite 124
Pearland, TX 77581-5771

Mailing address

8321 Broadway St
Suite 124
Pearland, TX 77581-5771
Phone (281) 485-4435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130827000594 TX Practitioner - Optometry 6800036617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX5798TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Etc Optometrist CurrentSince Mar 26, 2013 Accepting new patients

Locations

8321 Broadway St
Ste 124
Pearland, TX 77581
Phone (281) 485-4435

Organizations & group practices 1

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1356326508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 BROADWAY ST",
            "address_2": "SUITE 124",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815771",
            "telephone_number": "281-485-4435",
            "fax_number": "281-485-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 BROADWAY ST",
            "address_2": "SUITE 124",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815771",
            "telephone_number": "281-485-4435",
            "fax_number": "281-485-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TRANG",
        "middle_name": "HOANG",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX5798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.