Individual provider Active NPI

Sonya Tran

  • Optometrist
  • Battle Ground, WA
National Provider Identifier
1508423997
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61074487 Issued in WA
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

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220001617 OR Practitioner - Optometry 1153742721 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spec'D Out Eye Care, PS Optometrist CurrentSince Mar 11, 2025 Accepting new patients
Spectacle LLC Optometrist CurrentSince Oct 12, 2024 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.

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

Verify at the official NPI Registry.