Individual provider Active NPI

Thanh Le Tran

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1265912489
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34056TLG Issued in CA
Practice address
5404 Laurel Hills Dr
Sacramento, CA 95841-3106
Phone
(916) 967-4339
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34056TLG CA Primary

Addresses

Primary practice location

5404 Laurel Hills Dr
Sacramento, CA 95841-3106

Mailing address

5404 Laurel Hills Dr
Sacramento, CA 95841-3106
Phone (916) 967-4339

Other practice location 1

6809 Five Star Blvd Ste 100A
Rocklin, CA 95677-2687
Phone (916) 624-2020

Other practice location 2

2200 Sunrise Blvd Ste 120
Gold River, CA 95670-4378
Phone (916) 852-1600

Other practice location 3

421 Blue Ravine Rd Ste 300
Folsom, CA 95630-3821
Phone (916) 983-1066

Other practice location 4

5959 Greenback Ln Ste 130
Citrus Heights, CA 95621-4700
Phone (916) 726-1818

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
I20190208000022 CA Practitioner - Optometry 5597003012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thanh Le Tran OD IncGroup PAC ID 1052859808, 3 clinicians

Practice addresses (Care Compare)

3881 E Commerce Way
Sacramento, CA 95834-4017
Phone (916) 265-9609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34056TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thanh Le Tran OD Inc. Optometrist CurrentSince Jun 25, 2024 Accepting new patients
Helmus Optometry Optometrist CurrentSince Dec 6, 2021 Accepting new patients
Helmus Optometry Optometrist PastSince Dec 6, 2021 Accepting new patients

Locations

353 2nd St
Davis, CA 95616
Phone (530) 758-2122

3881 E Commerce Way
Sacramento, CA 95834
Phone (916) 265-9604

Interoperability endpoints

  • Direct secure messaging: ttran539100@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1265912489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 LAUREL HILLS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413106",
            "telephone_number": "916-967-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 LAUREL HILLS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413106",
            "telephone_number": "916-967-4339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6809 Five Star Blvd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956772687",
            "country_code": "US",
            "telephone_number": "916-624-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Sunrise Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gold River",
            "state": "CA",
            "postal_code": "956704378",
            "country_code": "US",
            "telephone_number": "916-852-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Blue Ravine Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303821",
            "country_code": "US",
            "telephone_number": "916-983-1066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5959 Greenback Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956214700",
            "country_code": "US",
            "telephone_number": "916-726-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THANH",
        "middle_name": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34056TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.