Individual provider Active NPI

Hoa Tran, OD

  • Optometrist
  • Covina, CA
National Provider Identifier
1588233134
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34822 Issued in CA
Practice address
554 E San Bernardino Rd Ste 102
Covina, CA 91723-1748
Phone
(310) 349-7847
NPI assigned
Jun 18, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34822 CA Primary

Addresses

Primary practice location

554 E San Bernardino Rd Ste 102
Covina, CA 91723-1748

Mailing address

554 E San Bernardino Rd
Covina, CA 91723-1747
Phone (626) 332-1888

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210624002278 CA Practitioner - Optometry 1153722418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Care, Inc.Group PAC ID 9032363585, 2 clinicians

Practice addresses (Care Compare)

11436 Garvey Ave
Suite E
El Monte, CA 91732-3304
Phone (626) 332-1888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Care, Inc. Single Specialty CurrentSince Jun 18, 2021 Accepting new patients
Emanate Health Foothill Presbyterian Hospital PastSince Jun 18, 2021 Accepting new patients

Locations

554 E San Bernardino Rd
Ste 102
Covina, CA 91723
Phone (206) 354-2604

11436 Garvey Ave
Ste E
El Monte, CA 91732
Phone (626) 332-1888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1588233134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 E SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231747",
            "telephone_number": "626-332-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 E SAN BERNARDINO RD STE 102",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231748",
            "telephone_number": "310-349-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HOA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.