Active NPI
Mimi K Tran, O.D.
- Optometrist
- Santa Ana, CA
National Provider Identifier
1396988077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 13598 T
- Practice address
- 1601 W 1St St
Suite C
Santa Ana, CA 92703-3670 - Phone
- (714) 543-7072
- Fax
- (714) 543-7073
- NPI assigned
- Apr 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 13598 T | CA | Primary |
Addresses
Primary practice location
1601 W 1St St
Suite C
Santa Ana, CA 92703-3670
Mailing address
4415 Ivar Ave
Rosemead, CA 91770-1226
Phone (714) 889-0688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 13598 T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mimi K Tran OD, Inc | Optometrist | Current | Accepting new patients |
| First Bristol Optometry | Current | Accepting new patients |
Locations
1601 W 1st St
Ste C
Santa Ana, CA 92703
Phone (714) 543-7072
Organizations & group practices 2
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.
-
- Exclusive Provider Organization
- Santa Ana, CA
- NPI 1114160892
-
- Optometrist
- Lakewood, CA
- NPI 1295598142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1396988077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 IVAR AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701226",
"telephone_number": "714-889-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W 1ST ST",
"address_2": "SUITE C",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927033670",
"telephone_number": "714-543-7072",
"fax_number": "714-543-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MIMI",
"middle_name": "K",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-11",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 13598 T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.