Individual provider Active NPI

Thu Thi Mong Truong, O.D.

  • Optometrist
  • Deerfield Beach, FL
National Provider Identifier
1376859611
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4545 Issued in FL
Practice address
142 W Hillsboro Blvd
Deerfield Beach, FL 33441-3433
Phone
(941) 258-7832
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001970 VA
Optometrist 152W00000X OPC 4545 FL Primary

Addresses

Primary practice location

142 W Hillsboro Blvd
Deerfield Beach, FL 33441-3433

Mailing address

11651 Royal Palm Blvd Apt 206
Coral Springs, FL 33065-6931
Phone (941) 258-7832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120725001060 FL Practitioner - Optometry 0547426116 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4545FLMDOptometrist
0618001970VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thu T. Truong O.D., LLC Optometrist CurrentSince Jan 1, 2012 Accepting new patients
Global Care Optometry II PA Optometrist CurrentSince Jan 2, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

13217 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-1209

142 W Hillsboro Blvd
Deerfield Beach, FL 33441
Phone (954) 426-3593

741 N Alafaya Trl
Unit H1
Orlando, FL 32828
Phone (407) 658-1693

18500 Veterans Blvd
Unit 4
Pt Charlotte, FL 33954
Phone (941) 743-7449

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1376859611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 ROYAL PALM BLVD APT 206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330656931",
            "telephone_number": "941-258-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413433",
            "telephone_number": "941-258-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "THU",
        "middle_name": "THI MONG",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001970",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.