Individual provider Active NPI

Sonny Truong, O.D.

  • Optometrist
  • Arlington, VA
National Provider Identifier
1871675926
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002298 Issued in VA
Practice address
4121 Wilson Blvd Ste 100
Arlington, VA 22203-4143
Phone
(703) 525-7474
Fax
(703) 525-4108
NPI assigned
Oct 19, 2006
Last updated
Mar 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1358 AZ
Optometrist 152W00000X 0618002298 VA Primary

Addresses

Primary practice location

4121 Wilson Blvd Ste 100
Arlington, VA 22203-4143

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150402002216 DC Practitioner - Optometry 5193042067 Reassigns benefits to 1 organization
I20180213000139 VA Practitioner - Optometry 5193042067

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4121 Wilson Blvd
Suite 100
Arlington, VA 22203-4143
Phone (703) 525-7474

5809 Leesburg Pike
Falls Church, VA 22041-2301
Phone (866) 693-9336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1358AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients

Locations

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

1211 S Fern St
Arlington, VA 22202
Phone (703) 888-2999

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1871675926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 WILSON BLVD STE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034143",
            "telephone_number": "703-525-7474",
            "fax_number": "703-525-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "SONNY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1358",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.