Active NPI
Sonya Tran
- Optometrist
- Battle Ground, WA
National Provider Identifier
1508423997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61074487
- Practice address
- 101 NW 12TH Ave Ste 101
Battle Ground, WA 98604-9145 - Phone
- (360) 687-0755
- NPI assigned
- May 21, 2019
- Sex
- Female
- 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 | OD61074487 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
101 NW 12TH Ave Ste 101
Battle Ground, WA 98604-9145
Mailing address
777 Lahou St
Hilo, HI 96720-6019
Phone (808) 769-1948
Other practice location 1
14406 NE 20th Ave
Vancouver, WA 98686
Phone (808) 769-1948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spec'D Out Eye Care, PS | Optometrist | Current | Accepting new patients |
| Spectacle LLC | Optometrist | Current | Accepting new patients |
Locations
2905 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 719-5179
101 NW 12th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 687-0755
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
- Portland, OR
- NPI 1376951293
-
- Optometrist
- Battle Ground, WA
- NPI 1821896531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1508423997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 LAHOU ST",
"city": "HILO",
"state": "HI",
"postal_code": "967206019",
"telephone_number": "808-769-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 12TH AVE STE 101",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049145",
"telephone_number": "360-687-0755"
}
],
"practiceLocations": [
{
"address_1": "14406 NE 20th Ave",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "98686",
"country_code": "US",
"telephone_number": "808-769-1948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "SONYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61074487",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.