Individual provider Active NPI

Tammy H Tran, O.D.

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1326117839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11590T Issued in CA
Practice address
3929 Rivermark PLZ
Santa Clara, CA 95054-4156
Phone
(408) 988-7957
Fax
(408) 988-7967
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11590T CA Primary

Addresses

Primary practice location

3929 Rivermark PLZ
Santa Clara, CA 95054-4156

Mailing address

3929 Rivermark PLZ
Santa Clara, CA 95054-4156
Phone (408) 988-7957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050914001356 CA Practitioner - Optometry 3971536434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11590TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tammy H Tran, OD a Professional Corporation Optometrist CurrentSince Feb 1, 2007 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Eye Care Optometric Corp Optometrist Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients

Locations

3929 Rivermark Plz
Santa Clara, CA 95054
Phone (408) 988-7957

Organizations & group practices 5

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326117839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 RIVERMARK PLZ",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950544156",
            "telephone_number": "408-988-7957",
            "fax_number": "408-988-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 RIVERMARK PLZ",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950544156",
            "telephone_number": "408-988-7957",
            "fax_number": "408-988-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAMMY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11590T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.