Active NPI
Michelle Dorian Tran, O.D.
- Optometrist
- Cupertino, CA
National Provider Identifier
1447799671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33635
- Practice address
- 20269 Stevens Creek Blvd
Cupertino, CA 95014-2258 - Phone
- (408) 898-2989
- NPI assigned
- Feb 21, 2017
- 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 | 33635 | CA | Primary |
Addresses
Primary practice location
20269 Stevens Creek Blvd
Cupertino, CA 95014-2258
Mailing address
20269 Stevens Creek Blvd
Cupertino, CA 95014-2258
Phone (408) 898-2989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33635 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1447799671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20269 STEVENS CREEK BLVD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142258",
"telephone_number": "408-898-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20269 STEVENS CREEK BLVD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142258",
"telephone_number": "408-898-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MICHELLE",
"middle_name": "DORIAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.