Tan Tran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15134TLG Issued in CA

Practice address

12471 Limonite Ave
Eastvale, CA 91752-2457

Phone

(626) 872-8740

NPI assigned

Jun 26, 2015

Last updated

Aug 13, 2015By 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

Other names 1

• Tannie Tran Professional name

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

Medicare enrollment (NPD)

Enrolled

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.

• Tannie Tran OD, Inc

  • Clinic/Center
  • Eastvale, CA
  • NPI 1144032343
  NPD Authorized official

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1568844470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 RANCHITO ST",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321317",
            "telephone_number": "626-872-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12471 LIMONITE AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522457",
            "telephone_number": "626-872-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15134TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANNIE",
            "last_name": "TRAN",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth N Thuo
• James C Thuo, RN
• Arlene-Angelique Torres
• Irma Marie Torres, RN
• Ronald Allan Ramos Torres, RN, FNP
• Trinity Way Assisted Living Facility LLC
• Genalyn Gonzales Turingan, PA
• Criste Cabatingan Ty, RN
• Anulika Ugwueze-Opara
• Adriana Valdez, PPS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.

Verify at the official NPI Registry.