Individual provider Active NPI

Saly Thi Tran, O.D.

  • Optometrist
  • Brookfield, WI
National Provider Identifier
1194782045
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2820-035 Issued in WI
Practice address
19035 W Capitol Dr
Suite 106
Brookfield, WI 53045-2706
Phone
(262) 754-4880
Fax
(262) 754-9814
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2820-035 WI Primary

Addresses

Primary practice location

19035 W Capitol Dr
Suite 106
Brookfield, WI 53045-2706

Mailing address

19035 W Capitol Dr
Suite 106
Brookfield, WI 53045-2706
Phone (262) 754-4880

Other identifiers 1

IdentifierTypeStateIssuer
2820-035OtherWISTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050223000216 WI Practitioner - Optometry 5294788998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookfield Vision Center SCGroup PAC ID 9032162730, 2 clinicians

Practice addresses (Care Compare)

19035 W Capitol Dr
Suite 106
Brookfield, WI 53045-2755
Phone (262) 754-4880

414 Genesee St
Delafield, WI 53018-1800
Phone (262) 423-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2820-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eyeglassery, Co Optometrist CurrentSince Sep 24, 2015 Accepting new patients
Brookfield Vision Center, S.C. Optometrist CurrentSince Feb 14, 2005 Accepting new patients

Locations

19035 W Capitol Dr
Ste 106
Brookfield, WI 53045
Phone (262) 754-4880

414 Genesee St
Delafield, WI 53018
Phone (262) 423-4747

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194782045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "SUITE 106",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452706",
            "telephone_number": "262-754-4880",
            "fax_number": "262-754-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "SUITE 106",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452706",
            "telephone_number": "262-754-4880",
            "fax_number": "262-754-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "SALY",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2820-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2820-035",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.