Active NPI
Tony Tran, OD
- Optometrist
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3134
- Practice address
- 87 Grandview Ave
Waterbury, CT 06708-2514 - Phone
- (203) 805-7022
- Fax
- (203) 596-2230
- NPI assigned
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5348 | MA | |
| Optometrist | 152W00000X | 3134 | CT | Primary |
Addresses
Primary practice location
87 Grandview Ave
Waterbury, CT 06708-2514
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Other practice location 1
22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Hamburg St
Springfield, MA 01107-1327
Phone (413) 733-0867
1457 Whalley Ave
New Haven, CT 06515-1153
Phone (203) 387-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5348 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Past | Accepting new patients |
Locations
145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686
1457 Whalley Ave
New Haven, CT 06515
Phone (203) 387-3937
93 Evergreen Way
Unit C
South Windsor, CT 06074
Phone (860) 633-4362
1249 W Main St
Ste 1
Waterbury, CT 06708
Phone (203) 805-7022
87 Grandview Ave
Waterbury, CT 06708
Phone (203) 465-1353
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
27 Memorial Pkwy
Randolph, MA 02368
Phone (617) 986-7400
12 Hamburg St
Springfield, MA 01107
Phone (413) 733-0867
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 7
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.
-
- Optometrist
- Ansonia, CT
- NPI 1396119194
-
- Optometrist
- Amherst, MA
- NPI 1124534946
-
- Optometrist
- New Haven, CT
- NPI 1902270614
-
- Optometrist
- Vernon, CT
- NPI 1992207468
-
- Optometrist
- Springfield, MA
- NPI 1841757283
-
- Optometrist
- North Andover, MA
- NPI 1922971415
-
- Optometrist
- Greenwich, CT
- NPI 1639902711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1487212346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082514",
"telephone_number": "203-805-7022",
"fax_number": "203-596-2230"
}
],
"practiceLocations": [
{
"address_1": "22 University Dr",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "MA",
"postal_code": "010022243",
"country_code": "US",
"telephone_number": "413-549-9400",
"fax_number": "413-549-0222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "TONY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5348",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "3134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.