Individual provider Active NPI

Christine Truong, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1962854000
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33612 Issued in CA
Practice address
6511 E Pacific Coast Hwy Ste G2B
Long Beach, CA 90803-4250
Phone
(562) 358-3616
NPI assigned
Jul 12, 2016
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33612 CA Primary

Addresses

Primary practice location

6511 E Pacific Coast Hwy Ste G2B
Long Beach, CA 90803-4250

Mailing address

6511 E Pacific Coast Hwy Ste G2B
Long Beach, CA 90803-4250
Phone (562) 358-3616

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
I20230815002259 CA Practitioner - Optometry 6800258351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6511 E Pacific Coast Hwy
Suite G2 B
Long Beach, CA 90803-4248
Phone (562) 358-3616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33612CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Truong, OD, Optometric Corporation Optometrist CurrentSince Jul 17, 2023 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. PastSince Aug 1, 2019 Accepting new patients

Locations

6511 E Pacific Coast Hwy
Ste G2B
Long Beach, CA 90803
Phone (562) 358-3616

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1962854000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 E PACIFIC COAST HWY STE G2B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034250",
            "telephone_number": "562-358-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 E PACIFIC COAST HWY STE G2B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034250",
            "telephone_number": "562-358-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "CHRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.