Active NPI
Mylinh Tran Duncan, D.O.
- Optometrist
- Santa Ana, CA
National Provider Identifier
1598755498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12027T
- Practice address
- 3620 South Bristol St
Suite 101
Santa Ana, CA 92704-7451 - Phone
- (714) 557-7373
- Fax
- (714) 557-2390
- NPI assigned
- Oct 24, 2005
- Last updated
- Sep 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12027T | CA | Primary |
Addresses
Primary practice location
3620 South Bristol St
Suite 101
Santa Ana, CA 92704-7451
Mailing address
18 Pinebrook
Irvine, CA 92618-4036
Phone (949) 552-1297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12027T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1598755498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 PINEBROOK",
"city": "IRVINE",
"state": "CA",
"postal_code": "926184036",
"telephone_number": "949-552-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 SOUTH BRISTOL ST",
"address_2": "SUITE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047451",
"telephone_number": "714-557-7373",
"fax_number": "714-557-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "MYLINH",
"middle_name": "TRAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12027T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.