Individual provider Active NPI

Crystal Kim Truong, MD

  • Ophthalmology Physician
  • Frisco, TX
National Provider Identifier
1720540404
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
U3675 Issued in TX
Practice address
5266 Independence Pkwy
Frisco, TX 75035-5533
Phone
(469) 287-9519
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Eye Care Associates PLLC 12 clinicians

Practice addresses (Care Compare)

2440 E 5TH St
Tyler, TX 75701-3525
Phone (903) 595-0500

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
83.25
Promoting interoperability
92
Improvement activities
40
Cost
77.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230808002799 TX Practitioner - Ophthalmology 0840613758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U3675TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Eye Care Associates PLLC Single Specialty CurrentSince Jan 4, 2025 Accepting new patients
East Texas Eye Care Associates PLLC Single Specialty CurrentSince Jan 4, 2025 Accepting new patients

Locations

2440 E 5th St
Tyler, TX 75701
Phone (903) 595-0500

Interoperability endpoints

  • Direct secure messaging: crystal.truong.p1@direct.paneye.nextgenshare.com
  • Direct secure messaging: crystaltruong@eyecaretyler.emadirect.md

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X
Ophthalmology Physician 207W00000X U3675 TX Primary
Ophthalmology Physician 207W00000X 2020017973 MO

Addresses

NPPES NPI Registry

Primary practice location

5266 Independence Pkwy
Frisco, TX 75035-5533

Mailing address

10117 Asheboro St
Frisco, TX 75035-7021

Other practice location 1

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-3900

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
94-10400OtherKSKANSAS STATE LICENSE
2020017973OtherMOMISSOURI STATE LICENSE

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address crystal.truong@tmcmed.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2024.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1720540404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 ASHEBORO ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 INDEPENDENCE PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355533",
            "telephone_number": "469-287-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Charlotte St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082727",
            "country_code": "US",
            "telephone_number": "816-404-3900",
            "fax_number": "816-404-3918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "CRYSTAL",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U3675",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2020017973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE LICENSE",
            "identifier": "94-10400",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE",
            "identifier": "2020017973",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.truong@tmcmed.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2101 Charlotte St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641082727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.