Individual provider Active NPI

Diana Tran, O.D.

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1376567669
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001343 Issued in VA
Practice address
3102 Plank Rd Ste 395
Fredericksburg, VA 22407-4900
Phone
(540) 786-2020
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001343 VA Primary

Addresses

Primary practice location

3102 Plank Rd Ste 395
Fredericksburg, VA 22407-4900

Mailing address

PO Box 42120
Fredericksburg, VA 22404-2120
Phone (540) 786-8186

Other practice location 1

45425 Dulles Crossing Plz
Sterling, VA 20166-8921
Phone (703) 646-0001

Other practice location 2

14050 Worth Ave
Woodbridge, VA 22192-4121
Phone (540) 300-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040805000192 VA Practitioner - Optometry 8628049327 Reassigns benefits to 1 organization
I20070305000312 DC Practitioner - Optometry 8628049327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1376567669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224042120",
            "telephone_number": "540-786-8186",
            "fax_number": "866-666-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 PLANK RD STE 395",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074900",
            "telephone_number": "540-786-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45425 Dulles Crossing Plz",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201668921",
            "country_code": "US",
            "telephone_number": "703-646-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14050 Worth Ave",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924121",
            "country_code": "US",
            "telephone_number": "540-300-2771",
            "fax_number": "866-666-7044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DIANA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.