Individual provider Active NPI

Thao Tran, OD

  • Optometrist
  • Columbus, IN
National Provider Identifier
1265990196
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004137A Issued in IN
Practice address
1130 Washington St
Columbus, IN 47201-5720
Phone
(812) 379-9893
Fax
(812) 379-9904
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004137A IN Primary

Addresses

Primary practice location

1130 Washington St
Columbus, IN 47201-5720

Mailing address

1130 Washington St
Columbus, IN 47201-5720
Phone (812) 379-9893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190323000063 IN Practitioner - Optometry 1658611934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

1130 Washington St
Columbus, IN 47201-5720
Phone (812) 379-9893

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients

Locations

1130 Washington St
Columbus, IN 47201
Phone (812) 379-9893

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

980 Averitt Rd
Greenwood, IN 46143
Phone (317) 881-4143

6735 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 783-1355

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1265990196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015720",
            "telephone_number": "812-379-9893",
            "fax_number": "812-379-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015720",
            "telephone_number": "812-379-9893",
            "fax_number": "812-379-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THAO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004137A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.