Andrew Vu Thanh Tran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 004108 Issued in FL

Practice address

112 E Dixie Ave
Leesburg, FL 34748-6350

Phone

(352) 787-1956

Fax

(352) 365-6690

NPI assigned

Aug 5, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Southern College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coren Eye Group PLLCGroup PAC ID 6800156399, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coren Eye Group PLLC

  dba Eyecare Center of Leesburg

  • Optometrist
  • Leesburg, FL
  • NPI 1588182562
  Medicare reassignment Care Compare group NPD Authorized official
• DRS Williams & Vihlen PA

  dba Eyecare Center of Leesburg

  • Eyewear Supplier
  • Leesburg, FL
  • NPI 1275600892

  Optometrist

  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265441455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 BRIAR GATE LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875521",
            "telephone_number": "407-256-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486350",
            "telephone_number": "352-787-1956",
            "fax_number": "352-365-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANDREW",
        "middle_name": "VU THANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 004108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621137200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lily Tran, M.D
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• Tri County Caretakers LLC

• Optometrist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.