Individual provider Active NPI

Charlene My-Hien Tran, O.D.

  • Optometrist
  • Gilroy, CA
National Provider Identifier
1043367733
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 12966 Issued in CA
Practice address
8650 San Ysidro Ave
Ste 104
Gilroy, CA 95020-5267
Phone
(408) 848-9922
Fax
(408) 848-9944
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 12966 CA Primary

Addresses

Primary practice location

8650 San Ysidro Ave
Ste 104
Gilroy, CA 95020-5267

Mailing address

3205 Victor CT
San Jose, CA 95132-1909
Phone (408) 929-8557

Other identifiers 1

IdentifierTypeStateIssuer
1215115522MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000587 CA Practitioner - Optometry 8325124654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 12966CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charlene Tran Optometry, Inc Optometrist CurrentSince Apr 30, 2003 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients

Locations

8833 Monterey Rd
Ste F
Gilroy, CA 95020
Phone (408) 729-2900

8650 San Ysidro Ave
Ste 10
Gilroy, CA 95020
Phone (408) 848-9922

8650 San Ysidro Ave
Ste 104
Gilroy, CA 95020
Phone (408) 848-9922

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1043367733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 VICTOR CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951321909",
            "telephone_number": "408-929-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 SAN YSIDRO AVE",
            "address_2": "STE 104",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205267",
            "telephone_number": "408-848-9922",
            "fax_number": "408-848-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CHARLENE",
        "middle_name": "MY-HIEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215115522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.