Individual provider Active NPI

John Nathan Tran, O.D.

  • Optometrist
  • Casselberry, FL
National Provider Identifier
1477801827
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4729 Issued in FL
Practice address
1455 Semoran Blvd
275
Casselberry, FL 32707-6522
Phone
(407) 960-2689
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4729 FL Primary

Addresses

Primary practice location

1455 Semoran Blvd
275
Casselberry, FL 32707-6522

Mailing address

1455 Semoran Blvd
275
Casselberry, FL 32707-6522
Phone (407) 960-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190430002123 FL Practitioner - Optometry 9032416961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr John Tran and Associates PLLCGroup PAC ID 1153660972, 2 clinicians

Practice addresses (Care Compare)

935 Oviedo Blvd
Suite 1007
Oviedo, FL 32765-3518
Phone (407) 720-9968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4729FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 23, 2019 Accepting new patients
Dr John Tran & Associates PLLC Optometrist CurrentSince Sep 26, 2018 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 23, 2019 Accepting new patients

Locations

1455 Semoran Blvd
Ste 275
Casselberry, FL 32707
Phone (407) 960-2689

4319 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-4552

935 Oviedo Blvd
Ste 1007
Oviedo, FL 32765
Phone (407) 720-9968

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1477801827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 SEMORAN BLVD",
            "address_2": "275",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076522",
            "telephone_number": "407-960-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 SEMORAN BLVD",
            "address_2": "275",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076522",
            "telephone_number": "407-960-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOHN",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.