Active NPI
Duc Truong Au, O.D.
- Optometrist
- Falls Church, VA
National Provider Identifier
1528166154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001189
- Practice address
- 444 W. Broad Street
Suite N
Falls Church, VA 22046-3344 - Phone
- (703) 534-8111
- Fax
- (703) 241-4522
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12785TPA | CA | |
| Optometrist | 152W00000X | 0618001189 | VA | Primary |
Addresses
Primary practice location
444 W. Broad Street
Suite N
Falls Church, VA 22046-3344
Mailing address
PO Box 806
McLean, VA 22101-0806
Phone (703) 534-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130528000474 | DC | Practitioner - Optometry | 4789691601 | Practice locations: Falls Church, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12785TPA | CA | MD | Optometrist |
| 0618001189 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
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.
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- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1528166154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 806",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221010806",
"telephone_number": "703-534-8111",
"fax_number": "703-241-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W. BROAD STREET",
"address_2": "SUITE N",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463344",
"telephone_number": "703-534-8111",
"fax_number": "703-241-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AU",
"first_name": "DUC",
"middle_name": "TRUONG",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12785TPA",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.