Organization Active NPI

Quyen H. Tran, O.D., PLLC

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1275647687
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5347T Issued in TX
Legal business name
QUYEN H. TRAN, O.D., PLLC
Doing business as
Simply Eyes
Practice address
1628 W. Hebron Pkwy
Suite 134
Carrollton, TX 75010
Phone
(972) 939-1900
Fax
(972) 939-1911
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Dr. Quyen H. Tran, ODNPI 1962426270
Title
Owner
Phone
(972) 939-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5347T TX Primary

Addresses

Primary practice location

1628 W. Hebron Pkwy
Suite 134
Carrollton, TX 75010

Mailing address

105 Woodland CV
Coppell, TX 75019-2034
Phone (972) 745-1671

Other identifiers 1

IdentifierTypeStateIssuer
103556003MedicaidTX

Other names 1

  • Simply Eyes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231206001199 TX Part B Supplier - Clinic/Group Practice 1658720420 Receives reassigned benefits from 1 practitioner
Practice locations: North Richland Hills, TX

National Provider Directory

National Provider Directory

Locations

1628 W Hebron Pkwy
Ste 134
Carrollton, TX 75010
Phone (972) 939-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1275647687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WOODLAND CV",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192034",
            "telephone_number": "972-745-1671",
            "fax_number": "972-939-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W. HEBRON PKWY",
            "address_2": "SUITE 134",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-939-1900",
            "fax_number": "972-939-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUYEN H. TRAN, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-939-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5347T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103556003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.