Active NPI
Phuong T Tran, O.D.
- Optometrist
- Omaha, NE
National Provider Identifier
1497896807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1153
- Practice address
- 18201 Wright St
Omaha, NE 68130-2875 - Phone
- (402) 330-4349
- Fax
- (402) 330-1716
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1153 | NE | Primary |
Addresses
Primary practice location
18201 Wright St
Omaha, NE 68130-2875
Mailing address
3010 N 170TH St
Omaha, NE 68116-2634
Phone (402) 763-9590
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 |
|---|---|---|---|
| 1153 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497896807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 N 170TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681162634",
"telephone_number": "402-763-9590",
"fax_number": "402-330-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18201 WRIGHT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302875",
"telephone_number": "402-330-4349",
"fax_number": "402-330-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHUONG",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.