Individual provider Active NPI

Yennhi Tran, OD

  • Optometrist
  • Kenai, AK
National Provider Identifier
1366001513
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
148271 Issued in AK
Practice address
110 S Willow St Ste 108
Kenai, AK 99611-7798
Phone
(907) 802-6468
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 148271 AK Primary

Addresses

Primary practice location

110 S Willow St Ste 108
Kenai, AK 99611-7798

Mailing address

110 S Willow St Ste 108
Kenai, AK 99611-7798
Phone (907) 802-6468

Other practice location 1

6060 Country Club Dr
Rohnert Park, CA 94928-2235
Phone (707) 478-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20191210001449 AK Practitioner - Optometry 1456784271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 E Marydale Ave
Soldotna, AK 99669-7648
Phone (907) 262-3119

Merit-based Incentive Payment System (MIPS)

Final score
70.09 of 100Reported as group
Quality
40
Improvement activities
40
Cost
80.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services of Alaska, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Alaska Center for the Blind and Visually Impaired Optometrist PastSince Nov 1, 2022 Accepting new patients

Locations

805 Frontage Rd
Kenai, AK 99611
Phone (907) 262-3119

230 E Marydale Ave
Soldotna, AK 99669
Phone (907) 262-3119

Organizations & group practices 3

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1366001513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WILLOW ST STE 108",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117798",
            "telephone_number": "907-802-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S WILLOW ST STE 108",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117798",
            "telephone_number": "907-802-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6060 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282235",
            "country_code": "US",
            "telephone_number": "707-478-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "YENNHI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "148271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.