Individual provider Active NPI

Diana Yen Xuan Truong, O.D.

  • Optometrist
  • Allen, TX
National Provider Identifier
1770954323
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8809TG Issued in TX
Practice address
150 E Stacy Rd
Allen, TX 75002-8756
Phone
(469) 786-2800
NPI assigned
Oct 8, 2015
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8809T TX
Optometrist 152W00000X 8809TG TX Primary

Addresses

Primary practice location

150 E Stacy Rd
Allen, TX 75002-8756

Mailing address

4060 Spring Valley Rd Apt 103
Farmers Branch, TX 75244-3820
Phone (916) 743-2697

Other practice location 1

4830 Cedar Springs Rd Apt 40
Dallas, TX 75219-1365
Phone (916) 743-2697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8809TTXMDOptometrist
8809TGTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1770954323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 SPRING VALLEY RD APT 103",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443820",
            "telephone_number": "916-743-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E STACY RD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028756",
            "telephone_number": "469-786-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4830 Cedar Springs Rd Apt 40",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752191365",
            "country_code": "US",
            "telephone_number": "916-743-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DIANA",
        "middle_name": "YEN XUAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8809T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8809TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.