Individual provider Active NPI

Raymond Tran, O.D

  • Optometrist
  • Bryan, TX
National Provider Identifier
1346331071
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6334 Issued in TX
Practice address
3100 Wildflower Dr Ste 310
Bryan, TX 77802-3082
Phone
(979) 705-1100
Fax
(979) 705-1102
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6334 TX Primary

Addresses

Primary practice location

3100 Wildflower Dr Ste 310
Bryan, TX 77802-3082

Mailing address

3100 Wildflower Dr Ste 310
Bryan, TX 77802-3082
Phone (979) 705-1100

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
I20040907000139 TX Practitioner - Optometry 6103892849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Eye Care, PLLCGroup PAC ID 3173617008, 3 clinicians

Practice addresses (Care Compare)

3975 State Hwy 6 S
Suite 900
College Station, TX 77845-6063
Phone (979) 985-5305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6334TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Care, PLLC CurrentSince Oct 25, 2019 Accepting new patients

Locations

3975 State Highway 6 S
Ste 900
College Station, TX 77845
Phone (979) 985-5305

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1346331071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILDFLOWER DR STE 310",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023082",
            "telephone_number": "979-705-1100",
            "fax_number": "979-705-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WILDFLOWER DR STE 310",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023082",
            "telephone_number": "979-705-1100",
            "fax_number": "979-705-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "RAYMOND",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.