Provider Demographics
NPI:1346532801
Name:BARKER&TRUONG, O.D., P.C.
Entity Type:Organization
Organization Name:BARKER&TRUONG, O.D., P.C.
Other - Org Name:FORSIGHT EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHUONGTHAO
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:678-208-2375
Mailing Address - Street 1:5725 BOULDER BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-3828
Mailing Address - Country:US
Mailing Address - Phone:678-571-4245
Mailing Address - Fax:
Practice Address - Street 1:975 PEACHTREE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6828
Practice Address - Country:US
Practice Address - Phone:678-208-2375
Practice Address - Fax:678-208-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty