Individual provider Active NPI

Tin T Tran, OD

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1285230433
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003346 Issued in VA
Practice address
4516 Plank Rd
Fredericksburg, VA 22407-0147
Phone
(540) 371-2020
NPI assigned
Dec 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34692TLG CA
Optometrist 152W00000X 0618003346 VA Primary

Addresses

Primary practice location

4516 Plank Rd
Fredericksburg, VA 22407-0147

Mailing address

4516 Plank Rd
Fredericksburg, VA 22407-0147
Phone (925) 490-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210412001341 CA Practitioner - Optometry 3476968579 Reassigns benefits to 1 organization
I20231109001386 VA Practitioner - Optometry 3476968579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Eye Centers IncGroup PAC ID 5193710036, 9 clinicians

Practice addresses (Care Compare)

4701 Spotsylvania Pkwy
Fredericksburg, VA 22407-9434
Phone (540) 834-4644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34692CAMDClinical Psychologist
34692TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Eye Centers, Inc. Optometrist CurrentSince Nov 20, 2023 Accepting new patients
Access Eye Centers, Inc. Optometrist CurrentSince Nov 20, 2023 Accepting new patients
Blackstone Optometry Optometrist PastSince Feb 10, 2021 Accepting new patients

Locations

4701 Spotsylvania Pkwy
Fredericksburg, VA 22407
Phone (540) 785-7810

4516 Plank Rd
Fredericksburg, VA 22407
Phone (540) 371-2020

110 Cambridge St
Fredericksburg, VA 22405
Phone (540) 371-2020

4701 Spotsylvania Pkwy
Ste 110
Fredericksburg, VA 22407
Phone (540) 371-2020

7961 Kings Hwy
King George, VA 22485
Phone (540) 371-2020

2761 Richmond Hwy
Ste 205
Stafford, VA 22554
Phone (540) 371-2020

Organizations & group practices 4

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1285230433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070147",
            "telephone_number": "925-490-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070147",
            "telephone_number": "540-371-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TIN",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34692TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.