Individual provider Active NPI

Nguyen T Tran, O.D.

  • Vision Therapy Optometrist
  • Walnut Creek, CA
National Provider Identifier
1255587291
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
14821 Issued in CA
Practice address
1844 San Miguel Dr Ste 300C
Walnut Creek, CA 94596-4962
Phone
(916) 719-0615
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14821 CA
Optometrist 152W00000X 56007317 PA
Vision Therapy Optometrist 152WV0400X 14821 CA Primary

Addresses

Primary practice location

1844 San Miguel Dr Ste 300C
Walnut Creek, CA 94596-4962

Mailing address

1844 San Miguel Dr Ste 300C
Walnut Creek, CA 94596-4962
Phone (510) 693-8053

Other practice location 1

230 Minor Hall
Berkeley, CA 94720-5221
Phone (510) 642-0609

Other practice location 2

1844 San Miguel Dr Ste 300C
Walnut Creek, CA 94596
Phone (510) 693-8053

Other practice location 3

1844 San Miguel Dr
Ste 300C
Walnut Creek, CA 94596-4962
Phone (510) 693-8053

Other identifiers 1

IdentifierTypeStateIssuer
11973810OtherCAQH

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL neurovisiondoc.com Direct
CONNECT URL www.HealMyEyes.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150406002017 CA Practitioner - Optometry 3072661693 Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1844 San Miguel Dr
Suite 300C
Walnut Creek, CA 94596-4962
Phone (916) 719-0615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56007317PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens & Vision Consultants, Inc Optometrist Past Accepting new patients
Regents of the University of California at Berkeley Optometrist Past Accepting new patients

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1255587291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 300C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "510-693-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 300C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "916-719-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Minor Hall",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947205221",
            "country_code": "US",
            "telephone_number": "510-642-0609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1844 San Miguel Dr Ste 300C",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "94596",
            "country_code": "US",
            "telephone_number": "510-693-8053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "STE 300C",
            "address_purpose": "LOCATION",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "country_code": "US",
            "telephone_number": "510-693-8053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGUYEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14821",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "56007317",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "14821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11973810",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "neurovisiondoc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "STE 300C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945964962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.HealMyEyes.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "STE 300C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945964962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.