Khanh Tran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12866 Issued in CA

Practice address

6850 Lincoln Ave Ste 204
Buena Park, CA 90620-4180

Phone

(714) 927-5192

Fax

(253) 252-8801

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Attentive Eye Care Optometry, Inc.

  • Optometrist
  • Buena Park, CA
  • NPI 1215160585
  NPD Authorized official
• Cerritos 2020 Optometry a Proffesional Optometric Corporatio

  • Optometrist
  • Cerritos, CA
  • NPI 1851410773
  NPD (past)
• David G Kirschen OD PHD a Professional Optometric Corp

  • Optometrist
  • Brea, CA
  • NPI 1639361611
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1295723666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE STE 204",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204180",
            "telephone_number": "714-927-5192",
            "fax_number": "253-252-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE STE 204",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204180",
            "telephone_number": "714-927-5192",
            "fax_number": "253-252-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "12866",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "12866",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "12866",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12866",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "12866",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Top Beauty and Wellness Center Inc
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• Total Renal Care Inc
• Felicia Kim Tran, MD
• Mailan Tran, O.D.
• Tri- Elizabeth Himes
• Tri-Elizabeth Homes
• Tri-Elizabeth Homes
• Tri-Elizabeth Homes

• Optometrist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.