Individual provider Active NPI

Dac-Nha Le Truong, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1508559329
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011771 Issued in IL
Practice address
820 S Damen Ave
Chicago, IL 60612-3728
Phone
(954) 376-1118
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011771 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

820 S Damen Ave
Chicago, IL 60612-3728

Mailing address

717 S Clark St Unit 1213
Chicago, IL 60605-1797
Phone (954) 376-1118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240813000146 IL Practitioner - Optometry 4183162902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brenart Eye Clinic, LLCGroup PAC ID 1456306851, 8 clinicians

Practice addresses (Care Compare)

120 E Countryside Pkwy
Yorkville, IL 60560-1877
Phone 63055361661002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011771ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenart Eye Clinic, LLC Optometrist CurrentSince Sep 1, 2024 Accepting new patients

Locations

120 E Countryside Pkwy
Ste B
Yorkville, IL 60560
Phone (630) 553-6166

718 N Bridge St
Yorkville, IL 60560
Phone (630) 553-1400

120 E Countryside Pkwy
Yorkville, IL 60560
Phone (630) 553-6166

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1508559329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S CLARK ST UNIT 1213",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051797",
            "telephone_number": "954-376-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123728",
            "telephone_number": "954-376-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DAC-NHA",
        "middle_name": "LE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011771",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.