Individual provider Active NPI

Katherine N. Tran, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1649584095
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7617 Issued in TX
Practice address
12300 North Freeway
Suite 455
Houston, TX 77060
Phone
(281) 451-5201
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7617 TX Primary

Addresses

Primary practice location

12300 North Freeway
Suite 455
Houston, TX 77060

Mailing address

9434 Shadow Gate LN
Houston, TX 77040-4358
Phone (281) 451-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230321002631 TX Practitioner - Optometry 2264806819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7189TXMDBehavioral Analyst
7617TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Society PLLC Optometrist CurrentSince Dec 8, 2022 Accepting new patients

Locations

714 Yale St
Ste 2G
Houston, TX 77007
Phone (281) 451-5201

Organizations & group practices 1

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1649584095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 SHADOW GATE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404358",
            "telephone_number": "281-451-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 NORTH FREEWAY",
            "address_2": "SUITE 455",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77060",
            "telephone_number": "281-451-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KATHERINE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.