Dieu Nga Truong & Tra Mi Truong Optometry Inc

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

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

Organization subpart

No

Name

Dr. Tra Mi Thi Truong, O.D.NPI 1760527311

Title

Optometrist/Cfo

Phone

(714) 507-8222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tra Mi Thi Truong, O.D.

  • Optometrist
  • Fountain Valley, CA
  • NPI 1760527311

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Dieu Nga Truong, O.D.

  • Optometrist
  • Garden Grove, CA
  • NPI 1295800696
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

• iStyle Optometry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2017.

{
    "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"
        }
    ]
}

• Bertram Dias, MD
• Kenia Kimberly Mildred Diaz Molina
• David G. Diaz, M.D.
• Lily Diaz, RN
• Erica Dickson, DO
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• An Dinh, PHARM D

• All providers in Fountain Valley, CA
• Corneal and Contact Management Optometrist in California

• 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.