Individual provider Active NPI

Michael Tran

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1154735934
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8423T Issued in TX
Practice address
2720 Western Center Blvd
Suite 316
Fort Worth, TX 76131-4302
Phone
(817) 847-9000
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8423T TX Primary

Addresses

Primary practice location

2720 Western Center Blvd
Suite 316
Fort Worth, TX 76131-4302

Mailing address

2720 Western Center Blvd
Suite 316
Fort Worth, TX 76131-4302
Phone (817) 847-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150114000650 TX Practitioner - Optometry 9931423308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tran Vision Associates, PLLCGroup PAC ID 3476777509, 2 clinicians

Practice addresses (Care Compare)

2720 Western Ctr Blvd
Suite 316
Fort Worth, TX 76131-4302
Phone (817) 847-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8423TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tran Vision Associates, PLLC Optometrist CurrentSince Dec 15, 2014 Accepting new patients

Locations

2720 Western Center Blvd
Ste 316
Fort Worth, TX 76131
Phone (817) 847-9000

Organizations & group practices 1

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1154735934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 WESTERN CENTER BLVD",
            "address_2": "SUITE 316",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314302",
            "telephone_number": "817-847-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 WESTERN CENTER BLVD",
            "address_2": "SUITE 316",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314302",
            "telephone_number": "817-847-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8423T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.