Individual provider Active NPI

Han Mai Tran

  • Optometrist
  • Happy Valley, OR
National Provider Identifier
1437531522
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3619AT Issued in OR
Practice address
12000 SE 82ND Ave
Suite 2012
Happy Valley, OR 97086-7721
Phone
(503) 652-1788
NPI assigned
Jun 24, 2015
Last updated
May 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3619AT OR Primary

Addresses

Primary practice location

12000 SE 82ND Ave
Suite 2012
Happy Valley, OR 97086-7721

Mailing address

1125 NW 9TH Ave Apt 329
Portland, OR 97209-2868
Phone (949) 344-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160616001148 OR Practitioner - Optometry 0244521540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Dr Han Tran and Associates PCGroup PAC ID 4183915481, 4 clinicians

Practice addresses (Care Compare)

12000 SE 82ND Ave
Suite 2012
Happy Valley, OR 97086-7721
Phone (503) 652-1788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3619ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Han Tran & Associates, P.C. Optometrist CurrentSince Jun 1, 2016 Accepting new patients
Dr. Han Tran & Associates, P.C. CurrentSince Jun 1, 2016 Accepting new patients
Dr. Han Tran & Associates, P.C. Optometrist Past Accepting new patients

Locations

12000 SE 82nd Ave
#2012
Portland, OR 97086
Phone (503) 652-1788

12000 SE 82nd Ave
Ste 2012
Portland, OR 97086
Phone (503) 652-1788

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1437531522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 9TH AVE APT 329",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092868",
            "telephone_number": "949-344-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 SE 82ND AVE",
            "address_2": "SUITE 2012",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867721",
            "telephone_number": "503-652-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HAN",
        "middle_name": "MAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3619AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

Verify at the official NPI Registry.