Provider Demographics
NPI:1114254125
Name:T&T EYES, INC.
Entity Type:Organization
Organization Name:T&T EYES, INC.
Other - Org Name:TA, TRUONG & ASSOCIATES, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MINH
Authorized Official - Middle Name:C
Authorized Official - Last Name:TA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-331-3926
Mailing Address - Street 1:1088 GRASSMEADE CT.
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-5501
Mailing Address - Country:US
Mailing Address - Phone:770-331-3926
Mailing Address - Fax:678-807-1158
Practice Address - Street 1:4375 LAWRENCEVILLE HWY
Practice Address - Street 2:ATTN: VISION CENTER
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-3702
Practice Address - Country:US
Practice Address - Phone:770-939-7576
Practice Address - Fax:678-212-5622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002034152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202G709657Medicare PIN