NPIMap

Individual provider Active NPI

Kimberly Thien Truong, OD

  • Optometrist
  • Burlington, MA
National Provider Identifier
1962284497
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5669 Issued in MA
Practice address
50 Mall Rd Ste 114
Burlington, MA 01803-4527
Phone
(781) 229-2020
Fax
(781) 229-2025
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5669 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

50 Mall Rd Ste 114
Burlington, MA 01803-4527

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116001033 MA Practitioner - Optometry 6608228622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Central Eye Care of Newton LLCGroup PAC ID 2365725850, 2 clinicians
Codman Square Health Center, IncGroup PAC ID 8123013869, 67 clinicians

Practice addresses (Care Compare)

1001 Watertown St
Suite 3
West Newton, MA 02465-2104
Phone (617) 527-1418

637 Washington St
Dorchester, MA 02124-3510
Phone (617) 825-9660

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Dec 13, 2023 Accepting new patients
Codman Square Health Center Inc CurrentSince Oct 13, 2025 Accepting new patients
Central Eye Care of Newton, LLC Optometrist CurrentSince Aug 8, 2025 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Dec 13, 2023 Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

50 Mall Rd
Ste 114
Burlington, MA 01803
Phone (781) 229-2020

637 Washington St
Dorchestr Ctr, MA 02124
Phone (617) 822-8211

1001 Watertown St
West Newton, MA 02465
Phone (617) 965-1321

1001 Watertown St
Ste 3
West Newton, MA 02465
Phone (617) 527-1418

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: ktruong142190@direct.bmc.masshiway.net

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1962284497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MALL RD STE 114",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034527",
            "telephone_number": "781-229-2020",
            "fax_number": "781-229-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KIMBERLY",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5669",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.