Organization Active NPI

Tran, an Optometric Corporation

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1124162318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
BOL6416 Issued in CA
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julie Tran, O.D.NPI 1891838462
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
54380OtherCASAFEGUARD VISION
16308OtherCAMEDICAL EYE SERVICES
20985OtherCASPECTERA VISION
43812OtherCADAVIS VISION
7145304445OtherCAVISION SERVICE PLAN
OP1331OtherCAEYE MED VISION
GSD005030MedicaidCA
BITROtherCAUNIVERSAL CARE

Other names 1

  • katella optometric center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416002614 CA Part B Supplier - Clinic/Group Practice 5890210439 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.