Individual provider Active NPI

Tram Ton-Tran, OD

  • Optometrist
  • Manteca, CA
National Provider Identifier
1457962193
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34633 Issued in CA
Practice address
903 W Center St Ste 9
Manteca, CA 95337-7315
Phone
(209) 823-1727
NPI assigned
Aug 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34633 CA Primary

Addresses

Primary practice location

903 W Center St Ste 9
Manteca, CA 95337-7315

Mailing address

903 W Center St Ste 9
Manteca, CA 95337-7315
Phone (209) 823-1727

Other practice location 1

1174 Calimesa Blvd
Calimesa, CA 92320-1509
Phone (909) 795-5557

Other practice location 2

1668 E 2nd St Ste B
Beaumont, CA 92223-3168
Phone (951) 845-4749

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34633CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tram Ton-Tran OD Inc Optometrist CurrentSince Jun 22, 2021 Accepting new patients
Focus Vision Clinic Optometry Inc Optometrist PastSince Oct 1, 2020 Accepting new patients

Locations

903 W Center St
Ste 9
Manteca, CA 95337
Phone (209) 823-1727

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": "1597449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1457962193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST STE 9",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-823-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST STE 9",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-823-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 Calimesa Blvd",
            "address_purpose": "LOCATION",
            "city": "Calimesa",
            "state": "CA",
            "postal_code": "923201509",
            "country_code": "US",
            "telephone_number": "909-795-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1668 E 2nd St Ste B",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922233168",
            "country_code": "US",
            "telephone_number": "951-845-4749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TON-TRAN",
        "first_name": "TRAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-15",
        "last_updated": "2021-06-17",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.