Individual provider Active NPI

Anh Thi Tran, O.D.

  • Optometrist
  • Irving, TX
National Provider Identifier
1366466351
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5790T Issued in TX
Practice address
1635 Market PL
Irving, TX 75063-7239
Phone
(214) 496-9515
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5790T TX Primary

Addresses

Primary practice location

1635 Market PL
Irving, TX 75063-7239

Mailing address

6851 Matlock Road
Suite 111
Arlington, TX 76002-3519
Phone (817) 419-8871

Other identifiers 1

IdentifierTypeStateIssuer
1829525-02MedicaidTX

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
I20170405002699 TX Practitioner - Optometry 6204132913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5790TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anh T. Tran & Associates, PLLC Optometrist CurrentSince Mar 24, 2018 Accepting new patients

Locations

1635 Market Pl
Irving, TX 75063
Phone (214) 496-9515

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1366466351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 MATLOCK ROAD",
            "address_2": "SUITE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023519",
            "telephone_number": "817-419-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MARKET PL",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637239",
            "telephone_number": "214-496-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANH",
        "middle_name": "THI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5790T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1829525-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.