Michael Dan Tran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14530 Issued in CA

Practice address

4898 Convoy St
Ste 103
San Diego, CA 92111-1633

Phone

(858) 565-1001

Fax

(858) 565-1004

NPI assigned

Nov 5, 2012

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• Tran Ta Inc

  dba New Optix Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1902342611
  Medicare reassignment NPD Authorized official
• Milestones Optometry, Inc.

  dba Milestones Eyecare

  • Optometrist
  • San Marcos, CA
  • NPI 1841703733
  NPD

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1649524216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 CONVOY ST",
            "address_2": "STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111633",
            "telephone_number": "858-565-1001",
            "fax_number": "858-565-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 CONVOY ST",
            "address_2": "STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111633",
            "telephone_number": "858-565-1001",
            "fax_number": "858-565-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MICHAEL",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai Tran, RN
• Mary Elizabeth Tran
• Mary-Hang Kim Tran, DO
• May Tran
• Megan Tran
• Michael Hieu Tran, PHARMD
• Michael Ngoc Tran, OD
• Michell Ruelos Tran
• Michelle Tran, PHD
• Michelle Phuonguyen Tran, PHARM.D

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.