Active NPI
Duc Truong, OD
- Optometrist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD.61316200
- Practice address
- 2525 NE 139TH St
Vancouver, WA 98686-2719 - Phone
- (360) 882-2778
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI4580 | OR | |
| Optometrist | 152W00000X | OD.61316200 | WA | Primary |
Addresses
Primary practice location
2525 NE 139TH St
Vancouver, WA 98686-2719
Mailing address
10819 SE Stark St
Portland, OR 97216-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210625002797 | OR | Practitioner - Optometry | 9133520208 | Reassigns benefits to 1 organization |
| I20240604003272 | WA | Practitioner - Optometry | 9133520208 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATI4580 | OR | MD | Optometrist |
| OD.61316200 | WA | MD | Optometrist |
| 4580 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Northwest, PC | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Eye Health Northwest P.C. | Optometrist | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients |
Locations
10819 SE Stark St
Ste 200
Portland, OR 97216
Phone (503) 255-2291
10819 SE Stark St
Portland, OR 97216
Phone (503) 255-2291
11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020
24601 SE Stark St
Troutdale, OR 97060
Phone (503) 344-5102
4500 SE Columbia Palisades Dr
Camas, WA 98607
2525 NE 139th St
Ste 280
Vancouver, WA 98686
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500
Interoperability endpoints
- dtruong24190@tvc-direct.org
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.
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1982282380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10819 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 NE 139TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862719",
"telephone_number": "360-882-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "DUC",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "ATI4580",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD.61316200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.