Organization Active NPI

Tran, Majher and Shaw, OD, PA

  • Optometrist
  • Wichita, KS
National Provider Identifier
1578654141
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRAN, MAJHER AND SHAW, OD, PA
Practice address
2720 E 21St St N
Wichita, KS 67214-2250
Phone
(316) 686-7212
NPI assigned
Sep 27, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Anh M Tran
Title
President
Phone
(316) 686-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2720 E 21St St N
Wichita, KS 67214-2250

Mailing address

2720 E 21St St N
Wichita, KS 67214-2250
Phone (316) 686-7212

Other identifiers 1

IdentifierTypeStateIssuer
100218430AMedicaidKS

Other names 1

  • Shea Vision Associates, E. 21st Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000923 KS Part B Supplier - Clinic/Group Practice 6901883313 Receives reassigned benefits from 5 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arkansas City, KS; Wichita, KS

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1578654141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142250",
            "telephone_number": "316-686-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142250",
            "telephone_number": "316-686-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN, MAJHER AND SHAW, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-686-7212",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218430A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Vision Associates, E. 21st",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.