Organization Active NPI

Q Truong Optometry Corp

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1619629581
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
Q TRUONG OPTOMETRY CORP
Doing business as
T&C Optometry
Practice address
8240 Calvine Rd Ste F
Sacramento, CA 95828-9310
Phone
(916) 430-8424
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Quyen Truong, ODNPI 1205305547
Title
Optometrist/Ceo
Phone
(916) 430-8424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8240 Calvine Rd Ste F
Sacramento, CA 95828-9310

Mailing address

8240 Calvine Rd Ste F
Sacramento, CA 95828-9310
Phone (916) 829-2708

Other identifiers 1

IdentifierTypeStateIssuer
CA367927MedicaidCA

Other names 1

  • T&C Optometry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SACRAMENTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221226000179 CA Part B Supplier - Clinic/Group Practice 0648646182 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Tax ID family
Q Truong Optometry Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1619629581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 CALVINE RD STE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958289310",
            "telephone_number": "916-829-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 CALVINE RD STE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958289310",
            "telephone_number": "916-430-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q TRUONG OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_title_or_position": "OPTOMETRIST/CEO",
        "authorized_official_telephone_number": "916-430-8424",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA367927",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SACRAMENTO",
            "affiliation": "N",
            "address_1": "8240 Calvine Rd Ste F",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958289310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "T&C Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "T&C Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.