Raphaella Tran, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011529 Issued in IL

Practice address

360 S Waukegan Rd Ste a
Deerfield, IL 60015-5654

Phone

(847) 412-0311

Fax

(847) 412-0316

NPI assigned

Jun 11, 2021

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Dr Kaplan and Associates PCGroup PAC ID 9931259330, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christina J. Levi O D P C

  dba Edwardsville Vision Center

  • Optometrist
  • Edwardsville, IL
  • NPI 1477703411
  Medicare reassignment Care Compare group NPD
• Dr. Kaplan & Associates, P.C.

  • Optometrist
  • Lake Zurich, IL
  • NPI 1063646164
  Medicare reassignment Care Compare group NPD
• Christina J. Levi O D P C

  dba Edwardsville Vision Center

  • Optometrist
  • Edwardsville, IL
  • NPI 1033261904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1528636198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026241",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S WAUKEGAN RD STE A",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155654",
            "telephone_number": "847-412-0311",
            "fax_number": "847-412-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "RAPHAELLA",
        "credential": "OD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Tokar, PSYD
• Nicole Tomczuk, DO
• Sayra V Torres Luna
• Andrea L. Torres, APN-CNP
• Elizabeth Torres, REGISTERED DIETITIAN
• Tracy Tran
• Ronald Lee Treiber, D.D.S.
• Trinity International University (TIU Sports Medicine)
• Cynthia Tsang, PHARM.D.
• Victoria Tuchscherer, PH.D.

• Optometrist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.

Verify at the official NPI Registry.