Active NPI
Tran, Majher and Shaw, OD, PA
- Optometrist
- Wichita, KS
National Provider Identifier
1578654141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100218430A | Medicaid | KS |
Other names 1
- Shea Vision Associates, E. 21st
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba TMS Eyecare
- Optometrist
- Wichita, KS
- NPI 1407191869
O20040702000923
-
dba Shea Vision Associates, Doctors of Optometry
- Optometrist
- Wichita, KS
- NPI 1316925043
O20040702000923
National Provider Directory
National Provider DirectoryNPI 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.