Kelly Tran Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

9711T Issued in CA

Legal business name

KELLY TRAN OPTOMETRY, INC

Practice address

2923 El Camino Real
Tustin, CA 92782-8909

Phone

(714) 731-0215

Fax

(714) 731-2858

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Hien Tran, O.DNPI 1093783797

Title

President

Phone

(714) 731-0215

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Hien Tran, O.D

  • Optometrist
  • Tustin, CA
  • NPI 1093783797
  Medicare reassignment Authorized official
• Robert Kleinberg

  • Optometrist
  • Tustin, CA
  • NPI 1598815052
  NPD (past)
• Victoria Voros, O.D.

  • Optometrist
  • West Hills, CA
  • NPI 1922150606
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1306994041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828909",
            "telephone_number": "714-731-0215",
            "fax_number": "714-731-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828909",
            "telephone_number": "714-731-0215",
            "fax_number": "714-731-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY TRAN OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "HIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-731-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9711T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0097111",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Richard Keene
• Keith Norman Kausler DC Inc-a
• Tina Keith
• Jamie Keller, M.A.
• Megan Renee Keller, LMFT
• Joseph Kelly, PHD
• Michael Sean Kelly, NP
• John A Kennedy, BCO
• Ariana Kenney
• Judith A Kent, PH.D.

• Optometrist in Tustin, CA
• Providers in Tustin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.