Individual provider Active NPI

Tina Doan Truong, O.D.

  • Optometrist
  • Morgan Hill, CA
National Provider Identifier
1750720280
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14629 Issued in CA
Practice address
18181 Butterfield Blvd Ste 150
Morgan Hill, CA 95037-8112
Phone
(408) 779-2000
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14629 CA Primary

Addresses

Primary practice location

18181 Butterfield Blvd Ste 150
Morgan Hill, CA 95037-8112

Mailing address

18181 Butterfield Blvd
Ste 150
Morgan Hill, CA 95037-8112
Phone (408) 202-4110

Other identifiers 1

IdentifierTypeStateIssuer
CA109386OtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20131212000789 CA Practitioner - Optometry 0446487763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18181 Butterfield Blvd
Suite 150
Morgan Hill, CA 95037-8112
Phone (408) 779-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
E Optometry Group, Inc. Optometrist CurrentSince Jan 30, 2018 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1750720280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD",
            "address_2": "STE 150",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378112",
            "telephone_number": "408-202-4110",
            "fax_number": "408-778-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD STE 150",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378112",
            "telephone_number": "408-779-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TINA",
        "middle_name": "DOAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA109386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.