Individual provider Active NPI

Lethu T Truong, O.D.

  • Optometrist
  • Sanford, FL
National Provider Identifier
1588970792
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4559 Issued in FL
Practice address
203 Seminole Towne Center Circle
#P-8
Sanford, FL 32771-7409
Phone
(407) 328-0570
Fax
(407) 328-0690
NPI assigned
Aug 25, 2010
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4559 FL Primary

Addresses

Primary practice location

203 Seminole Towne Center Circle
#P-8
Sanford, FL 32771-7409

Mailing address

3349 Benson Park Blvd
Orlando, FL 32829-7330
Phone (321) 945-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101029000254 FL Practitioner - Optometry 0244424604 Practice locations: Sanford, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4559FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lethu Truong, O.D., P.a. Optometrist CurrentSince Apr 23, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1588970792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 BENSON PARK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297330",
            "telephone_number": "321-945-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SEMINOLE TOWNE CENTER CIRCLE",
            "address_2": "#P-8",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717409",
            "telephone_number": "407-328-0570",
            "fax_number": "407-328-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "LETHU",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.