Active NPI
Ly Tran, DO
- Optician
- Fort Myers, FL
National Provider Identifier
1295567287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO5965
- Practice address
- 4770 Colonial Blvd
Fort Myers, FL 33966-1034 - Phone
- (239) 274-5020
- Fax
- (239) 274-5025
- NPI assigned
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO5965 | FL | Primary |
Addresses
Primary practice location
4770 Colonial Blvd
Fort Myers, FL 33966-1034
Mailing address
13643 Messino CT
Estero, FL 33928-6427
Phone (239) 961-7280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO5965 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1295567287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13643 MESSINO CT",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286427",
"telephone_number": "239-961-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661034",
"telephone_number": "239-274-5020",
"fax_number": "239-274-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LY",
"name_prefix": "Ms.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO5965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.