Provider Demographics
NPI:1770757874
Name:DR. THOMAS TRUONG, O.D., INC.
Entity type:Organization
Organization Name:DR. THOMAS TRUONG, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-590-1889
Mailing Address - Street 1:2660 PARK CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-6207
Mailing Address - Country:US
Mailing Address - Phone:805-526-9292
Mailing Address - Fax:805-526-2224
Practice Address - Street 1:2660 PARK CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6207
Practice Address - Country:US
Practice Address - Phone:805-526-9292
Practice Address - Fax:805-526-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty