Organization Active NPI

Mimi K Tran OD, Inc

  • Optometrist
  • Lakewood, CA
National Provider Identifier
1295598142
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MIMI K TRAN OD, INC
Practice address
2770 Carson St Ste 700
Lakewood, CA 90712-4011
Phone
(562) 497-1517
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Mimi Tran, ODNPI 1396988077
Title
Optometrist
Phone
(562) 497-1517

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 Primary

Addresses

Primary practice location

2770 Carson St Ste 700
Lakewood, CA 90712-4011

Mailing address

10702 Ballast Ave
Garden Grove, CA 92843-5361
Phone (714) 417-8521

Other names 1

  • Mimi K Tran OD, INC Doing business as

National Provider Directory

National Provider Directory

Locations

2770 Carson St
Ste 700
Lakewood, CA 90712
Phone (562) 497-1517

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": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1295598142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 BALLAST AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435361",
            "telephone_number": "714-417-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CARSON ST STE 700",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124011",
            "telephone_number": "562-497-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI K TRAN OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "562-497-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mimi K Tran OD, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.