Individual provider Active NPI

Don Quang Tran, O.D.

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1063870574
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33340 Issued in CA
Practice address
15061 Springdale St
103
Huntington Beach, CA 92649-1163
Phone
(714) 898-3464
NPI assigned
Jan 29, 2016
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33340 CA Primary

Addresses

Primary practice location

15061 Springdale St
103
Huntington Beach, CA 92649-1163

Mailing address

15061 Springdale St
103
Huntington Beach, CA 92649-1163
Phone (714) 898-3464

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
I20161116000711 CA Practitioner - Optometry 5799064739 Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33340CAMDOrthodontics and Dentofacial Orthopedic Dentist
OPT33340CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gottlieb Dr Tran Optometrists Inc Optometrist PastSince Jan 31, 2021 Accepting new patients
George H Garcia MD Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1063870574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15061 SPRINGDALE ST",
            "address_2": "103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491163",
            "telephone_number": "714-898-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15061 SPRINGDALE ST",
            "address_2": "103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491163",
            "telephone_number": "714-898-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DON",
        "middle_name": "QUANG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2021-02-11",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.