Active NPI
Jimmy Tran, O.D.
- Optometrist
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6855TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309756003 | Medicaid | TX |
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
Enrollment records 1
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
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 100
- Quality
- 95.31
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6855TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JW Eye Associates, PLLC | Current | Accepting new patients | |
| JW Eye Associates, PLLC | Optometrist | Current | Accepting new patients |
| JW Eye Associates, PLLC | Optometrist | Current | Accepting new patients |
| Tran Vision Associates, PLLC | Optometrist | Current | Accepting new patients |
| Vision Depot LLC | Optometrist | Past | 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
- 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.
-
- Optometrist
- Fort Worth, TX
- NPI 1750704136
-
- Ophthalmology Physician
- Grapevine, TX
- NPI 1265588461
-
- Optometrist
- Irving, TX
- NPI 1588934525
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Colleyville, TX
- NPI 1366174419
-
- Ophthalmology Physician
- Grapevine, TX
- NPI 1972328177
-
- Optometrist
- Dallas, TX
- NPI 1770923401
-
- Internal Medicine Physician
- New York, NY
- NPI 1568413169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.