Individual provider Active NPI

Anh M Tran, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1083692735
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1540-3 Issued in KS
Practice address
2251 N Woodlawn St
Wichita, KS 67220-3947
Phone
(316) 686-6063
Fax
(316) 686-4214
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1540-3 KS Primary

Addresses

Primary practice location

2251 N Woodlawn St
Wichita, KS 67220-3947

Mailing address

2251 N Woodlawn St
Wichita, KS 67220-3947
Phone (316) 686-6063

Other identifiers 5

IdentifierTypeStateIssuer
269152OtherKSCOVENTRY-LOC#1
463315MedicaidKS
100330040AMedicaidKS
10898OtherKSPPK
265105OtherKSCOVENTRY-LOC#2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040816000590 KS Practitioner - Optometry 7315910619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tran Majher and Shaw OD PAGroup PAC ID 6901883313, 5 clinicians

Practice addresses (Care Compare)

2720 E 21St N St
Wichita, KS 67214-2250
Phone (316) 686-7212

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1540-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tran, Majher and Shaw, O.D., P.a. Optometrist CurrentSince Aug 4, 1998 Accepting new patients
Tran, Majher and Shaw, OD,PA Optometrist Current Accepting new patients
Tran Majher and Shaw O.D. P.a. Optometrist CurrentSince Aug 4, 1998 Accepting new patients
Tran, Majher and Shaw, OD, PA Optometrist Past Accepting new patients

Locations

2508 Edgemont Dr
Ste 6
Arkansas City, KS 67005
Phone (620) 442-2577

10531 E 21st St N
Wichita, KS 67206
Phone (316) 686-6063

2251 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 686-6063

2121 N Tyler Rd
Ste 302
Wichita, KS 67212
Phone (316) 729-8600

2720 E 21st St N
Wichita, KS 67214
Phone (316) 686-6063

Interoperability endpoints

  • Direct secure messaging: anh.tran@khindirect.org
  • Direct secure messaging: atran@tmseyecare.eyefinity-direct.com

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1083692735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203947",
            "telephone_number": "316-686-6063",
            "fax_number": "316-686-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203947",
            "telephone_number": "316-686-6063",
            "fax_number": "316-686-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1540-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY-LOC#1",
            "identifier": "269152",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463315",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100330040A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPK",
            "identifier": "10898",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY-LOC#2",
            "identifier": "265105",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.