Inland Optometric Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

11766T Issued in CA

Legal business name

INLAND OPTOMETRIC ASSOCIATES

Practice address

15070 Summit Ave
400
Fontana, CA 92336-5387

Phone

(909) 463-4655

Fax

(909) 463-9655

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Truong, O.D.NPI 1205994050

Title

Optometrist

Phone

(909) 282-8798

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Truong, O.D.

  • Optometrist
  • Fontana, CA
  • NPI 1205994050
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1497960181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15070 SUMMIT AVE",
            "address_2": "400",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365387",
            "telephone_number": "909-463-4655",
            "fax_number": "909-463-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15070 SUMMIT AVE",
            "address_2": "400",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365387",
            "telephone_number": "909-463-4655",
            "fax_number": "909-463-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND OPTOMETRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "909-282-8798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11766T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9425438",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inland Healthcare Group
• Inland Healthcare Group
• Inland Healthcare Group a Medical Corporation
• Inland MRI LLC
• Inland OB/GYN Associates, a Medical Corporation
• Inland Physical Therapy and Spine Center, PC
• Jerrelyn Javier Inocencio-Diaz, MD
• Integrated Family Enrichment Services
• Internal Medicine Medical Group
• Herman Ip, RPH

• Optometrist in Fontana, CA
• Providers in Fontana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.