Dan Thy Tran, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35192 Issued in CA

Practice address

769 Hickey Blvd
Pacifica, CA 94044-1214

Phone

(650) 738-2205

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jennifer Quirante Professional Optometry Corp

  dba Rockaway Beach Optometry

  • Optometrist
  • Pacifica, CA
  • NPI 1003902842
  Medicare reassignment NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1629797816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 ROCKY MOUNTAIN AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357027",
            "telephone_number": "408-712-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 HICKEY BLVD",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441214",
            "telephone_number": "650-738-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAN THY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc (Rite Aid Pharmacy 05890)
• Thrifty Payless Inc (Rite Aid Pharmacy 05891)
• Karina Soto Tolentino, RD
• April M Torres, MFT #52409
• Lauren Totah-McCarty
• Holly Trief, VMD
• Unveil the Wellness Center
• Nancy Dayrit Uy
• Donna Johnson Uzoigwe, MS
• Supriya Kumar Vaderhobli, DDS

• Optometrist in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.