Provider Demographics
NPI:1821052168
Name:TRUONG, JAMES QUOC (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:QUOC
Last Name:TRUONG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 MERRIMAC DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2617
Mailing Address - Country:US
Mailing Address - Phone:910-964-9594
Mailing Address - Fax:
Practice Address - Street 1:ROBINSON HEALTH CLINIC, OPTOMETRY
Practice Address - Street 2:BLDG # C1722 TAGATAY RD
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-9512
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2406152W00000X
HI485152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist