Active NPI
Nancy Phung Truong
- Optometrist
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ATI4749
- Practice address
- 7023 SW Nyberg St
Tualatin, OR 97062-6242 - Phone
- (971) 377-1117
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI4749 | OR | Primary |
Addresses
Primary practice location
7023 SW Nyberg St
Tualatin, OR 97062-6242
Mailing address
26120 SW Canyon Creek Rd Apt 202
Wilsonville, OR 97070-7640
Phone (503) 510-3021
Other practice location 1
10104 SW Washington Square Rd
Tigard, OR 97223-4457
Phone (503) 968-5437
Other practice location 2
11170 NE Evergreen Pkwy
Beaverton, OR 97006-7522
Phone (503) 617-0963
Other practice location 3
3205 SW Cedar Hills Blvd Ste 9
Beaverton, OR 97005-1347
Phone (503) 646-7995
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Group, PC | Optometrist | Current | Accepting new patients |
Locations
3205 SW Cedar Hills Blvd
Ste 9
Beaverton, OR 97005
Phone (503) 643-4840
11170 NE Evergreen Pkwy
Beaverton, OR 97006
Phone (503) 617-0963
63455 N Highway 97
Ste 75
Bend, OR 97703
Phone (541) 388-7906
970 NW Eastman Pkwy
Gresham, OR 97030
Phone (503) 666-7460
7023 SW Nyberg St
Tualatin, OR 97062
Phone (971) 377-1117
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.
-
- Optometrist
- Bend, OR
- NPI 1831656925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1457055386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26120 SW CANYON CREEK RD APT 202",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707640",
"telephone_number": "503-510-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 SW NYBERG ST",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970626242",
"telephone_number": "971-377-1117"
}
],
"practiceLocations": [
{
"address_1": "10104 SW Washington Square Rd",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972234457",
"country_code": "US",
"telephone_number": "503-968-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11170 NE Evergreen Pkwy",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970067522",
"country_code": "US",
"telephone_number": "503-617-0963",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3205 SW Cedar Hills Blvd Ste 9",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970051347",
"country_code": "US",
"telephone_number": "503-646-7995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUONG",
"first_name": "NANCY",
"middle_name": "PHUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "ATI4749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.