Organization Active NPI

E Optometry Group, Inc.

  • Optometrist
  • Morgan Hill, CA
National Provider Identifier
1720421928
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT14629-TLG Issued in CA
Legal business name
E OPTOMETRY GROUP, INC.
Practice address
18181 Butterfield Blvd
Suite 150
Morgan Hill, CA 95037-8108
Phone
(408) 779-2000
Fax
(408) 778-2569
NPI assigned
Apr 8, 2013
Last updated
Apr 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Dr. Tina Doan Truong, ODNPI 1750720280
Title
Owner/Optometrist
Phone
(408) 515-5748

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 OPT14629-TLG CA Primary

Addresses

Primary practice location

18181 Butterfield Blvd
Suite 150
Morgan Hill, CA 95037-8108

Mailing address

18181 Butterfield Blvd
Suite 150
Morgan Hill, CA 95037-8108
Phone (408) 779-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140529000980 CA Part B Supplier - Clinic/Group Practice 0042433625 Receives reassigned benefits from 1 practitioner
Practice locations: Morgan Hill, CA

National Provider Directory

National Provider Directory

Locations

18181 Butterfield Blvd
Ste 150
Morgan Hill, CA 95037
Phone (408) 779-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1720421928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD",
            "address_2": "SUITE 150",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378108",
            "telephone_number": "408-779-2000",
            "fax_number": "408-778-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD",
            "address_2": "SUITE 150",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378108",
            "telephone_number": "408-779-2000",
            "fax_number": "408-778-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E OPTOMETRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "DOAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "408-515-5748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT14629-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.