Organization Active NPI

Dieu Nga Truong & Tra Mi Truong Optometry Inc

Doing business as iStyle Optometry

  • Corneal and Contact Management Optometrist
  • Fountain Valley, CA
National Provider Identifier
1972039188
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
10459T Issued in CA
Legal business name
DIEU NGA TRUONG & TRA MI TRUONG OPTOMETRY INC
Doing business as
iStyle Optometry
Practice address
9430 Warner Ave Ste M
Fountain Valley, CA 92708-2826
Phone
(714) 377-2020
Fax
(714) 377-2021
NPI assigned
May 8, 2017
Last updated
May 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Dr. Tra Mi Thi Truong, O.D.NPI 1760527311
Title
Optometrist/Cfo
Phone
(714) 507-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 9962T CA
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 10459T CA Primary

Addresses

Primary practice location

9430 Warner Ave Ste M
Fountain Valley, CA 92708-2826

Mailing address

9430 Warner Ave Ste M
Fountain Valley, CA 92708-2826
Phone (714) 377-2020

Other names 1

  • iStyle Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170623001417 CA Part B Supplier - Clinic/Group Practice 4183992688 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

9430 Warner Ave
Ste M
Fountain Valley, CA 92708
Phone (714) 377-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1972039188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 WARNER AVE STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082826",
            "telephone_number": "714-377-2020",
            "fax_number": "714-377-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 WARNER AVE STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082826",
            "telephone_number": "714-377-2020",
            "fax_number": "714-377-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEU NGA TRUONG & TRA MI TRUONG OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TRA MI",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OPTOMETRIST/CFO",
        "authorized_official_telephone_number": "714-507-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9962T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10459T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iStyle Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.