Thao Tran, O.D., Inc

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

12867 Issued in CA

Legal business name

THAO TRAN, O.D., INC

Practice address

110 Civic Center Dr Ste 204
Vista, CA 92084-6038

Phone

(760) 753-3665

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Thao Tran, O.D.NPI 1962581421

Title

President

Phone

(760) 753-3665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thao Phuong Tran, O.D.

  • Low Vision Rehabilitation Optometrist
  • Vista, CA
  • NPI 1962581421
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1437218864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CIVIC CENTER DR STE 204",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846038",
            "telephone_number": "760-753-3665",
            "fax_number": "408-969-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CIVIC CENTER DR STE 204",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846038",
            "telephone_number": "760-753-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAO TRAN, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-753-3665",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "12867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Marie Tesoriero
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• Ariel Thai
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• Low Vision Rehabilitation Optometrist in Vista, CA
• Providers in Vista, CA by specialty
• Low Vision Rehabilitation Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.