Active NPI
Nguyen Tran
- Optometrist
- Newington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3136
- Practice address
- 262 Brockett St
Newington, CT 06111 - Phone
- (860) 667-2020
- Fax
- (860) 667-0770
- NPI assigned
- Nov 8, 2019
- Last updated
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3136 | CT | Primary |
Addresses
Primary practice location
262 Brockett St
Newington, CT 06111
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1457 Whalley Ave
New Haven, CT 06515-1153
Phone (203) 387-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3136 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Past | Accepting new patients |
Locations
145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686
1457 Whalley Ave
New Haven, CT 06515
Phone (203) 387-3937
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
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, 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": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1083259428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 BROCKETT ST",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-667-2020",
"fax_number": "860-667-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "NGUYEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-08",
"last_updated": "2022-04-07",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "3136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.