Active NPI
Priscilla C Truong, O. D.
- Optometrist
- Pasadena, CA
National Provider Identifier
1588853840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13158
- Practice address
- 115 E del Mar Blvd
201
Pasadena, CA 91105-2567 - Phone
- (626) 354-7313
- NPI assigned
- Oct 23, 2007
- Last updated
- Jan 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 13158 | CA | Primary |
Addresses
Primary practice location
115 E del Mar Blvd
201
Pasadena, CA 91105-2567
Mailing address
115 E del Mar Blvd
201
Pasadena, CA 91105-2567
Phone (626) 354-7313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marina Eyecare Center | Optometrist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1588853840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E DEL MAR BLVD",
"address_2": "201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052567",
"telephone_number": "626-354-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E DEL MAR BLVD",
"address_2": "201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052567",
"telephone_number": "626-354-7313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "PRISCILLA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.