Organization Active NPI

Dr Lyn D Tran OD Inc

  • Optometrist
  • Castle Rock, CO
National Provider Identifier
1609185685
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2304 Issued in CO
Legal business name
DR LYN D TRAN OD INC
Practice address
133 Sam Walton LN
Castle Rock, CO 80104-7933
Phone
(303) 663-2029
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Lyn TranNPI 1295924629
Title
President
Phone
(303) 663-2029

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 2304 CO Primary

Addresses

Primary practice location

133 Sam Walton LN
Castle Rock, CO 80104-7933

Mailing address

133 Sam Walton LN
Castle Rock, CO 80104-7933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000520 CO Part B Supplier - Clinic/Group Practice 7012109200 Receives reassigned benefits from 1 practitioner
Practice locations: Castle Rock, CO

National Provider Directory

National Provider Directory

Locations

133 Sam Walton Ln
Ste B
Castle Rock, CO 80104

Practitioners & affiliated clinicians

Practitioners 1

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": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1609185685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SAM WALTON LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SAM WALTON LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047933",
            "telephone_number": "303-663-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LYN D TRAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-663-2029"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.