Individual provider Active NPI

Nhu Truong Beteta, O.D.

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1740475870
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4391 Issued in FL
Practice address
5961 NW 173Rd Dr
Hialeah, FL 33015
Phone
(305) 556-7500
Fax
(305) 851-5708
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4391 FL Primary

Addresses

Primary practice location

5961 NW 173Rd Dr
Hialeah, FL 33015

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

2589 N. State Road 7
Chen Medical Lauderhill, Inc
Lauderhill, FL 33313
Phone (954) 714-1264

Other practice location 2

2589 N. State Road 7
Chen Medical Lauderhill, Inc
Lauderhill, FL 33313
Phone (954) 714-1264

Other names 1

  • Nhu Quynh Truong Former name

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
I20071219000858 FL Practitioner - Optometry 1052401668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4391FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University Inc. CurrentSince Jul 2, 2007 Accepting new patients
Nova Southeastern University, Inc CurrentSince Jul 2, 2007 Accepting new patients
Nova Southeastern University, Inc Optometrist Current Accepting new patients
Aran Eye Associates PA Past Accepting new patients
East Florida Eye Institute PA Past Accepting new patients

Locations

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

Interoperability endpoints

  • Direct secure messaging: nhu.beteta.p1@direct.caremax.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1740475870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-556-7500",
            "fax_number": "305-851-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2589 N. State Road 7",
            "address_2": "Chen Medical Lauderhill, Inc",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "33313",
            "country_code": "US",
            "telephone_number": "954-714-1264",
            "fax_number": "954-714-1271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2589 N. State Road 7",
            "address_2": "Chen Medical Lauderhill, Inc",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "33313",
            "country_code": "US",
            "telephone_number": "954-714-1264",
            "fax_number": "954-714-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETETA",
        "first_name": "NHU",
        "middle_name": "TRUONG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NHU",
            "last_name": "TRUONG",
            "middle_name": "QUYNH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.