Active NPI
Tran, an Optometric Corporation
- Optometrist
- Anaheim, CA
National Provider Identifier
1124162318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- BOL6416
- Legal business name
- TRAN, AN OPTOMETRIC CORPORATION
- Practice address
- 9896 Katella Ave
Suite B
Anaheim, CA 92804-6418 - Phone
- (714) 530-4445
- Fax
- (714) 530-4446
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie Tran, O.D.
- Title
- Optometrist
- Phone
- (714) 530-4445
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | BOL6416 | CA | Primary |
Addresses
Primary practice location
9896 Katella Ave
Suite B
Anaheim, CA 92804-6418
Mailing address
9896 Katella Ave
Suite B
Anaheim, CA 92804-6418
Phone (714) 530-4445
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54380 | Other | CA | SAFEGUARD VISION |
| 16308 | Other | CA | MEDICAL EYE SERVICES |
| 20985 | Other | CA | SPECTERA VISION |
| 43812 | Other | CA | DAVIS VISION |
| 7145304445 | Other | CA | VISION SERVICE PLAN |
| OP1331 | Other | CA | EYE MED VISION |
| GSD005030 | Medicaid | CA | |
| BITR | Other | CA | UNIVERSAL CARE |
Other names 1
- katella optometric center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9896 Katella Ave
Ste B
Anaheim, CA 92804
Phone (714) 530-4445
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brea, CA
- NPI 1891838462
-
- Optometrist
- Irvine, CA
- NPI 1093853012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124162318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9896 KATELLA AVE",
"address_2": "SUITE B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046418",
"telephone_number": "714-530-4445",
"fax_number": "714-530-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9896 KATELLA AVE",
"address_2": "SUITE B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046418",
"telephone_number": "714-530-4445",
"fax_number": "714-530-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAN, AN OPTOMETRIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "714-530-4445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "BOL6416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD VISION",
"identifier": "54380",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "16308",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA VISION",
"identifier": "20985",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "43812",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "7145304445",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED VISION",
"identifier": "OP1331",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD005030",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL CARE",
"identifier": "BITR",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "katella optometric center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.