Organization Active NPI

Dr. Tran OD Professional Corp

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1053578336
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
371 Issued in NV
Legal business name
DR. TRAN OD PROFESSIONAL CORP
Practice address
8826 S Eastern Ave Ste 112
Las Vegas, NV 89123-4826
Phone
(702) 942-6301
Fax
(702) 942-6303
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Janet Tran, ODNPI 1386736569
Title
President
Phone
(702) 942-6301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 371 NV Primary

Addresses

Primary practice location

8826 S Eastern Ave Ste 112
Las Vegas, NV 89123-4826

Mailing address

8826 S Eastern Ave Ste 112
Las Vegas, NV 89123-4826
Phone (702) 942-6301

Other identifiers 1

IdentifierTypeStateIssuer
002502042MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1053578336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 S EASTERN AVE STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234826",
            "telephone_number": "702-942-6301",
            "fax_number": "702-942-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 S EASTERN AVE STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234826",
            "telephone_number": "702-942-6301",
            "fax_number": "702-942-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRAN OD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-942-6301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002502042",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.