Individual provider Active NPI

Trangdai Vuong Hoang-Tran, O,D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1245549369
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010397 Issued in IL
Practice address
7018-20 N Western Ave
Chicago, IL 60645-3416
Phone
(773) 895-4799
Fax
(847) 384-1860
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010397 IL Primary

Addresses

Primary practice location

7018-20 N Western Ave
Chicago, IL 60645-3416

Mailing address

7018-20 N Western Ave
Chicago, IL 60645-1413
Phone (773) 274-1880

Other names 1

  • Dr. Trangdai Vuong Hoang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20101123001076 IL Practitioner - Optometry 1557557089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7018 N Western Ave
Chicago, IL 60645-3416
Phone (773) 274-1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trangdai Vuong Hoang-Tran, O.D., S.C. Optometrist CurrentSince Oct 15, 2011 Accepting new patients

Locations

7018 N Western Ave
Chicago, IL 60645
Phone (773) 274-1880

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1245549369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018-20 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451413",
            "telephone_number": "773-274-1880",
            "fax_number": "773-274-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018-20 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453416",
            "telephone_number": "773-895-4799",
            "fax_number": "847-384-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG-TRAN",
        "first_name": "TRANGDAI",
        "middle_name": "VUONG",
        "name_prefix": "Dr.",
        "credential": "O,D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRANGDAI",
            "last_name": "HOANG",
            "middle_name": "VUONG",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.