Individual provider Active NPI

Henry Tran

  • Optometrist
  • Fullerton, CA
National Provider Identifier
1467846709
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15159 Issued in CA
Practice address
1950 Sunny Crest Dr Ste 3200
Fullerton, CA 92835-3641
Phone
(714) 278-1834
NPI assigned
Mar 25, 2015
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 15159 CA Primary

Addresses

Primary practice location

1950 Sunny Crest Dr Ste 3200
Fullerton, CA 92835-3641

Mailing address

1950 Sunny Crest Dr Ste 3200
Fullerton, CA 92835-3646
Phone (714) 278-1834

Other practice location 1

1403 N Tustin Ave Ste 399
Santa Ana, CA 92705-8691
Phone (714) 884-3961

Other practice location 2

500 S Anaheim Hills Rd Ste 234
Anaheim, CA 92807-4760
Phone (714) 921-0232

Other practice location 3

10 N Greene St
Baltimore, MD 21201-1524
Phone (410) 605-7230

Other practice location 4

17833 Colima Rd
City Of Industry, CA 91748-1729
Phone (626) 964-8864

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
I20150909002502 CA Practitioner - Optometry 3476860388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Eye Medical Group Inc Optometrist CurrentSince Aug 1, 2015 Accepting new patients

Locations

17833 Colima Rd
City of Industry, CA 91748
Phone (626) 964-8864

2240 N Harbor Blvd
Ste 210
Fullerton, CA 92835
Phone (714) 278-1834

44241 15th St W
Ste 201
Lancaster, CA 93534
Phone (661) 949-5955

73271 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (213) 234-1000

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1467846709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 3200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353646",
            "telephone_number": "714-278-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 3200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353641",
            "telephone_number": "714-278-1834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 N Tustin Ave Ste 399",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927058691",
            "country_code": "US",
            "telephone_number": "714-884-3961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Anaheim Hills Rd Ste 234",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928074760",
            "country_code": "US",
            "telephone_number": "714-921-0232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 N Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011524",
            "country_code": "US",
            "telephone_number": "410-605-7230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17833 Colima Rd",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917481729",
            "country_code": "US",
            "telephone_number": "626-964-8864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HENRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.