Individual provider Active NPI

Thanhan Andy Nguyen-Tran, OD, FAAO

  • Optometrist
  • Albany, CA
National Provider Identifier
1467010827
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35131 Issued in CA
Practice address
1051 Solano Ave
Albany, CA 94706-1650
Phone
(510) 526-3937
NPI assigned
May 31, 2019
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011315 IL
Optometrist 152W00000X 35131 CA Primary

Addresses

Primary practice location

1051 Solano Ave
Albany, CA 94706-1650

Mailing address

1051 Solano Ave
Albany, CA 94706-1650
Phone (510) 526-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230619000654 CA Practitioner - Optometry 7810221967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruth J Chen OD IncGroup PAC ID 5294127510, 3 clinicians

Practice addresses (Care Compare)

1051 Solano Ave
Albany, CA 94706-1650
Phone (510) 526-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35131CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth J Chen OD Inc Optometrist CurrentSince Jun 12, 2023 Accepting new patients
Solano Eyecare Optometric Professionals Optometrist CurrentSince Jun 11, 2023 Accepting new patients

Locations

1051 Solano Ave
Albany, CA 94706
Phone (510) 526-3937

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, 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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1467010827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061650",
            "telephone_number": "510-526-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061650",
            "telephone_number": "510-526-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-TRAN",
        "first_name": "THANHAN",
        "middle_name": "ANDY",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011315",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.