Individual provider Active NPI

Jimmy Tran, O.D.

  • Optometrist
  • Grapevine, TX
National Provider Identifier
1306802012
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6855TG Issued in TX
Practice address
2201 Westgate PLZ
Grapevine, TX 76051-8037
Phone
(817) 410-2030
Fax
(817) 251-6261
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4559 MA
Optometrist 152W00000X 6855TG TX Primary

Addresses

Primary practice location

2201 Westgate PLZ
Grapevine, TX 76051-8037

Mailing address

2201 Westgate PLZ
Grapevine, TX 76051-8037
Phone (817) 410-2030

Other identifiers 1

IdentifierTypeStateIssuer
309756003MedicaidTX

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
I20111123000049 TX Practitioner - Optometry 1153330600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians
Eye Consultants of Texas PAGroup PAC ID 8820997513, 3 clinicians
Tran Vision Associates, PLLCGroup PAC ID 3476777509, 2 clinicians

Practice addresses (Care Compare)

2201 Westgate PLZ
Grapevine, TX 76051-8037
Phone (214) 754-0000

2720 Western Ctr Blvd
Suite 316
Fort Worth, TX 76131-4302
Phone (817) 847-9000

Merit-based Incentive Payment System (MIPS)

Final score
97.66 of 100Reported as group
Quality
95.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6855TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC CurrentSince May 13, 2025 Accepting new patients
JW Eye Associates, PLLC Optometrist Current Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince May 13, 2025 Accepting new patients
Tran Vision Associates, PLLC Optometrist CurrentSince Feb 18, 2014 Accepting new patients
Vision Depot LLC Optometrist PastSince Sep 23, 2013 Accepting new patients
JW Eye Associates, PLLC Past Accepting new patients
Staten Island Physician Practice PC Past Accepting new patients

Locations

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

2720 Western Center Blvd
Ste 316
Fort Worth, TX 76131
Phone (817) 847-9000

2201 Westgate Plz
Grapevine, TX 76051
Phone (817) 410-2030

Interoperability endpoints

  • Direct secure messaging: jtran@kwec.intellechartdirect.net

Organizations & group practices 9

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1306802012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WESTGATE PLZ",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518037",
            "telephone_number": "817-410-2030",
            "fax_number": "817-251-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WESTGATE PLZ",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518037",
            "telephone_number": "817-410-2030",
            "fax_number": "817-251-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JIMMY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4559",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6855TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309756003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.