Individual provider Active NPI

Marcia Lee Truong, OD

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1669050761
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34787 Issued in CA
Practice address
310 Barber CT
Milpitas, CA 95035-7922
Phone
(408) 432-8101
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34787 CA Primary

Addresses

Primary practice location

310 Barber CT
Milpitas, CA 95035-7922

Mailing address

2440 Glen Fox CT
San Jose, CA 95148-4112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211020000319 CA Practitioner - Optometry 8527456896 Reassigns benefits to 1 organization
I20231012003594 TX Practitioner - Optometry 8527456896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Hills Eye Care, PCGroup PAC ID 4981849841, 11 clinicians

Practice addresses (Care Compare)

10401 Research Blvd
A
Austin, TX 78759-5712
Phone (512) 345-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34787CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Hills Eye Care, PC Optometrist CurrentSince Oct 16, 2023 Accepting new patients
Total Vision PC Optometrist CurrentSince Nov 19, 2021 Accepting new patients
J Pietrantonio OD Inc Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

19459 Stevens Creek Blvd
Ste 110
Cupertino, CA 95014
Phone (408) 996-9886

233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310

310 Barber Ct
Milpitas, CA 95035
Phone (408) 342-8101

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

10401 Research Blvd
Austin, TX 78759
Phone (512) 345-2000

10401 Research Blvd
#A
Austin, TX 78759
Phone (512) 345-2000

2201 N Interstate 35
Ste A
Georgetown, TX 78628
Phone (512) 793-7931

1901 Kelly Ln
Ste A
Pflugerville, TX 78660
Phone (512) 345-2000

Organizations & group practices 3

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1669050761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 GLEN FOX CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BARBER CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357922",
            "telephone_number": "408-432-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "MARCIA",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.