Individual provider Active NPI

Quang K Tran, O.D.

  • Optometrist
  • Plano, TX
National Provider Identifier
1396958211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6498T Issued in TX
Practice address
6300 Stonewood Dr
Suite #304
Plano, TX 75024-5312
Phone
(469) 467-8100
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

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 6498T TX Primary

Addresses

Primary practice location

6300 Stonewood Dr
Suite #304
Plano, TX 75024-5312

Mailing address

6300 Stonewood Dr
Suite #304
Plano, TX 75024-5280
Phone (469) 467-8100

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
I20131118001619 TX Practitioner - Optometry 7214163435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricon Eye Care Center, PAGroup PAC ID 1951374669, 3 clinicians

Practice addresses (Care Compare)

6300 Stonewood Dr
Suite 304
Plano, TX 75024-5312
Phone (469) 467-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6498TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tricon Eye Care Center, PA CurrentSince Sep 19, 2023 Accepting new patients

Locations

6300 Stonewood Dr
Ste 304
Plano, TX 75024
Phone (469) 467-8100

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396958211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "SUITE #304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "469-467-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "SUITE #304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245312",
            "telephone_number": "469-467-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "QUANG",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6498T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.