Individual provider Active NPI

Thuy L Tran, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1285775338
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5953T Issued in TX
Practice address
11209 Bellaire Blvd
Suite # C9A
Houston, TX 77072-2536
Phone
(281) 988-8722
NPI assigned
Feb 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5953T TX Primary

Addresses

Primary practice location

11209 Bellaire Blvd
Suite # C9A
Houston, TX 77072-2536

Mailing address

11209 Bellaire Blvd
Ste C9A
Houston, TX 77072-2536
Phone (281) 988-8722

Other identifiers 1

IdentifierTypeStateIssuer
143624801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110922000242 TX Practitioner - Optometry 3072784008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5953TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyewear Concepts Inc. Optometrist CurrentSince Jul 12, 2011 Accepting new patients

Locations

11209 Bellaire Blvd
Ste C-09
Houston, TX 77072
Phone (281) 988-8722

Organizations & group practices 1

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": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1285775338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 BELLAIRE BLVD",
            "address_2": "STE C9A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722536",
            "telephone_number": "281-988-8722",
            "fax_number": "281-988-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 BELLAIRE BLVD",
            "address_2": "SUITE # C9A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722536",
            "telephone_number": "281-988-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THUY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5953T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143624801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.