Organization Active NPI

Tracy T Tran OD PC

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1609099696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2262 Issued in OK
Legal business name
TRACY T TRAN OD PC
Doing business as
Arrow Eye Care
Practice address
749 W New Orleans St
Broken Arrow, OK 74011-1812
Phone
(918) 455-0222
Fax
(918) 455-0226
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tracy T. Tran, O.D.NPI 1831221878
Title
President
Phone
(918) 455-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2262 OK Primary

Addresses

Primary practice location

749 W New Orleans St
Broken Arrow, OK 74011-1812

Mailing address

749 W New Orleans St
Broken Arrow, OK 74011-1812
Phone (918) 455-0222

Other names 1

  • Arrow Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000727 OK Part B Supplier - Clinic/Group Practice 7810097581 Receives reassigned benefits from 1 practitioner
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

749 W New Orleans St
Broken Arrow, OK 74011
Phone (918) 258-4810

717 W New Orleans St
Broken Arrow, OK 74011
Phone (918) 455-0222

1122 N 9th St
Broken Arrow, OK 74012
Phone (918) 455-0222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609099696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 W NEW ORLEANS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111812",
            "telephone_number": "918-455-0222",
            "fax_number": "918-455-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 W NEW ORLEANS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111812",
            "telephone_number": "918-455-0222",
            "fax_number": "918-455-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY T TRAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-455-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrow Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.