Individual provider Active NPI

Thanh N Tran, OD

  • Optometrist
  • Camas, WA
National Provider Identifier
1255061560
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61312629 Issued in WA
Practice address
329 NE 6TH Ave
Camas, WA 98607-2035
Phone
(360) 834-4802
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61312629 WA Primary

Addresses

Primary practice location

329 NE 6TH Ave
Camas, WA 98607-2035

Mailing address

12207 NE 104TH St
Vancouver, WA 98682-1848
Phone (206) 291-0408

Other names 1

  • Nana Tran Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20221020001163 WA Practitioner - Optometry 9335515089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

314 E McLoughlin Blvd
Vancouver, WA 98663-3371
Phone (360) 694-8303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61312629WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Vancouver Contact Lens & Vision Clinic Inc Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

329 NE 6th Ave
Camas, WA 98607
Phone (360) 834-4802

314 E McLoughlin Blvd
Vancouver, WA 98663
Phone (360) 694-8303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1255061560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 NE 104TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986821848",
            "telephone_number": "206-291-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NE 6TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072035",
            "telephone_number": "360-834-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THANH",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61312629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANA",
            "last_name": "TRAN",
            "credential": "THANH NANA TRAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.