Active NPI
Christopher H Tran, OD
- Optometrist
- Wichita, KS
National Provider Identifier
1487933479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1905
- Practice address
- 1901 W 21St St N
Wichita, KS 67203-2106 - Phone
- (316) 832-2838
- Fax
- (316) 832-9530
- NPI assigned
- Aug 9, 2011
- 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 | 1905 | KS | Primary |
| Optometrist | 152W00000X | 2717 | OK |
Addresses
Primary practice location
1901 W 21St St N
Wichita, KS 67203-2106
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1905 | Other | KS | KS OPTOMETRY LICENSE |
| 200737250B | Medicaid | KS | |
| OPT731 | Other | NM | NM OPTOMETRY LICENSE |
| 2717 | Other | OK | OK OPTOMETRY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2717 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grene Vision Group LLC | Optometrist | Past | Accepting new patients |
| Grene Vision Group LLC | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Wichita, KS
- NPI 1598215006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1487933479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E BIJOU ST STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809098009",
"telephone_number": "719-576-1850",
"fax_number": "719-955-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W 21ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032106",
"telephone_number": "316-832-2838",
"fax_number": "316-832-9530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1905",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2717",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS OPTOMETRY LICENSE",
"identifier": "1905",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200737250B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM OPTOMETRY LICENSE",
"identifier": "OPT731",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK OPTOMETRY LICENSE",
"identifier": "2717",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.