Individual provider Active NPI

Mimi K Tran, O.D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1396988077
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 13598 T Issued in CA
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

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OPT 13598 TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.