Johan M Tran, PH.D., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11584T Issued in CA

Practice address

8907 Warner Ave Ste 125
Huntington Beach, CA 92647-5080

Phone

(714) 962-6400

Fax

(714) 596-5972

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Deric C Simmons

  • Optometrist
  • Huntington Beach, CA
  • NPI 1902124159
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1114082344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 WARNER AVE STE 125",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475080",
            "telephone_number": "714-962-6400",
            "fax_number": "714-596-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 WARNER AVE STE 125",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475080",
            "telephone_number": "714-962-6400",
            "fax_number": "714-596-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11584T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "09Y003205NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7839223",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUXOTTICA,EYEMED",
            "identifier": "930309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivy Ann Tran, MS
• Jacqueline Tran
• Jennifer Tran
• Jennifer Ngoc Tran, RPH
• Jenny Tran
• Julie Tran
• Kathleen Tran
• Katie Tran
• Kelly Khuong Tran, PHARMACIST
• Khanh Tran, MD

• Optometrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.