Thomasvtran, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC1238, SC1239 Issued in SC

Legal business name

THOMASVTRAN, OD, PA

Practice address

350 Robert Smalls Pkwy
Beaufort, SC 29906-4284

Phone

(843) 522-9755

Fax

(843) 521-3085

NPI assigned

Apr 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Van Tran, ODNPI 1871664904

Title

President

Phone

(843) 522-0613

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Van Tran, O.D.

  • Optometrist
  • Beaufort, SC
  • NPI 1871664904
  Medicare reassignment NPD Authorized official
• Emily Burkett Tran, O.D.

  • Optometrist
  • Beaufort, SC
  • NPI 1518030485
  NPD (past)

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144340019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAYEK ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072068",
            "telephone_number": "843-522-0613",
            "fax_number": "843-521-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ROBERT SMALLS PKWY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299064284",
            "telephone_number": "843-522-9755",
            "fax_number": "843-521-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVTRAN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-522-0613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1238, SC1239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. EMILY B. TRAN'S NPI #",
            "identifier": "1518030485",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12387",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC GROUP#",
            "identifier": "DB3713",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMILY TRAN'S SSN",
            "identifier": "$$$$$$$$$",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR THOMAS V TRAN'S NPI #",
            "identifier": "1871664904",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9742",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC PIN #",
            "identifier": "P00100411",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12396",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS TRAN'S SSN",
            "identifier": "$$$$$$$$$",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Surgery Center of Beaufort LLC
• The Thriving Place
• Jessica Thierry
• Kassie Thomas, PTA
• Nancy Elizabeth Thomas, PA-C
• Amy Thompson
• Gary A. Thompson, MD
• Heidi Heidi Thompson
• Patricia A Thompson, MD
• Kimberly Thorpe, PA

• Optometrist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Optometrist in South Carolina

• 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.