Individual provider Active NPI

John Tran, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1467103275
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61222607 Issued in WA
Practice address
2501 N 45TH St
Seattle, WA 98103-6909
Phone
(206) 526-5222
Fax
(206) 675-1460
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61222607 WA Primary

Addresses

Primary practice location

2501 N 45TH St
Seattle, WA 98103-6909

Mailing address

285 8TH Ave N Apt 432
Seattle, WA 98109-5177
Phone (909) 618-6241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220418002369 WA Practitioner - Optometry 7113314352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Puget Sound Eye CareGroup PAC ID 2466341284, 6 clinicians

Practice addresses (Care Compare)

2501 N 45 St
Seattle, WA 98103-6909
Phone (206) 526-5222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61222607WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Eye Care Optometrist CurrentSince Jan 10, 2022 Accepting new patients

Locations

12402 SE 38th St
Ste 203
Bellevue, WA 98006
Phone (425) 454-0200

2501 N 45th St
Seattle, WA 98103
Phone (206) 526-5060

Organizations & group practices 1

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1467103275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 8TH AVE N APT 432",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095177",
            "telephone_number": "909-618-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036909",
            "telephone_number": "206-526-5222",
            "fax_number": "206-675-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61222607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.