Individual provider Active NPI

David Riley Tran, O.D.

  • Optometrist
  • Metairie, LA
National Provider Identifier
1619064896
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1418-542T Issued in LA
Practice address
4521 Camel St
Metairie, LA 70001-4616
Phone
(814) 244-5954
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1418-542T LA Primary
Optometrist 152W00000X OEG-001681 PA

Addresses

Primary practice location

4521 Camel St
Metairie, LA 70001-4616

Mailing address

4521 Camel St
Metairie, LA 70001-4616
Phone (814) 244-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120807000742 LA Practitioner - Optometry 7214198068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2010 Woodmere Blvd
Suite H
Harvey, LA 70058-2286
Phone (504) 371-8044

3848 Veterans Memorial Blvd
Suite 202
Metairie, LA 70002-5621
Phone (504) 881-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1418-542TLAMDOptometrist
OEG-001681PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Riley Tran OD LLC Optometrist CurrentSince Jan 28, 2015 Accepting new patients
Caplan Eye Clinic a Professional Medical Corporation Past Accepting new patients

Locations

13001 Highway 90
Boutte, LA 70039
Phone (985) 785-0855

2010 Woodmere Blvd
Ste H
Harvey, LA 70058
Phone (504) 371-8044

3848 Veterans Memorial Blvd
Ste 202
Metairie, LA 70002
Phone (225) 205-7060

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1619064896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 CAMEL ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014616",
            "telephone_number": "814-244-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 CAMEL ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014616",
            "telephone_number": "814-244-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAVID",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1418-542T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-001681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.