Individual
THUY TAM TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1689 DULUTH HWY, LAWRENCEVILLE, GA 30043-5010
(770) 559-9670
(470) 375-3245
Mailing address
1689 DULUTH HWY, LAWRENCEVILLE, GA 30043-5010
(770) 559-9670
(470) 375-3245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002732
GA
152WC0802X
Corneal and Contact Management Optometrist
OPT002732
GA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT002732
GA
152WP0200X
Pediatric Optometrist
OPT002732
GA
152WS0006X
Sports Vision Optometrist
OPT002732
GA
152WV0400X
Vision Therapy Optometrist
OPT002732
GA
152WX0102X
Occupational Vision Optometrist
OPT002732
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169929A
—
GA
Enumeration date
12/28/2010
Last updated
11/09/2023
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