Phoenix My Tran, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33956TLG Issued in CA

Practice address

2156 Montebello Town Ctr
Montebello, CA 90640

Phone

(323) 720-1600

Fax

(323) 278-3595

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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 CA

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

Southern California College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ventura Institute of Ophthalmology IncGroup PAC ID 5799040788, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ventura Institute of Ophthalmology Inc

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1346744125
  Medicare reassignment Care Compare group
• Eye People Optometry, Inc.

  • Optometrist
  • Montebello, CA
  • NPI 1396259669
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1558856971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 CUTLER AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917061432",
            "telephone_number": "626-863-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 MONTEBELLO TOWN CTR",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-720-1600",
            "fax_number": "323-278-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHOENIX",
        "middle_name": "MY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33956TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town Center Optometry, Inc.
• Charlene Delos Reyes Traballo, OTR/L
• Hanh Hong Tran, O.D.
• Huong Tuyet Tran
• Peter Tran, D.D.S.
• Thang Dinh Tran, DDS
• Transcare Home Health Inc
• Stephanie Trat, PHARM. D.
• Myrna Yu Trillana, PHAMACIST
• Trinity Urological & Surgical Group

• Optometrist in Montebello, CA
• Providers in Montebello, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.