Provider Demographics
NPI:1245268218
Name:TRUONG, LOC P (OD)
Entity type:Individual
Prefix:DR
First Name:LOC
Middle Name:P
Last Name:TRUONG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:275 W KAAHUMANU AVE
Mailing Address - Street 2:STE. 1010
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-1629
Mailing Address - Country:US
Mailing Address - Phone:808-877-4766
Mailing Address - Fax:808-877-3166
Practice Address - Street 1:275 W KAAHUMANU AVE
Practice Address - Street 2:STE. 1010
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1629
Practice Address - Country:US
Practice Address - Phone:808-877-4766
Practice Address - Fax:808-877-3166
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI596152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist