Active NPI
Matthew Tran
- Optometrist
- Los Altos, CA
National Provider Identifier
1659047181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0003734
- Practice address
- 133 2ND St
Los Altos, CA 94022-2745 - Phone
- (650) 948-3700
- Fax
- (650) 941-9980
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35383 | CA | |
| Optometrist | 152W00000X | OPT.0003734 | CO | Primary |
Addresses
Primary practice location
133 2ND St
Los Altos, CA 94022-2745
Mailing address
133 2ND St
Los Altos, CA 94022-2745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
133 2ND St
Los Altos, CA 94022-2745
Phone (650) 948-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35383 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sowash Optometry Group PC | Optometrist | Current | Accepting new patients |
| Aaron Neufeld | Optometrist | Current | Accepting new patients |
| Sowash Optometry Group, PC | Optometrist | Current | Accepting new patients |
Locations
133 2nd St
Los Altos Hills, CA 94022
Phone (650) 941-4482
6252 S Central St
Aurora, CO 80016
Phone (303) 693-0333
4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1659047181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 2ND ST",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 2ND ST",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222745",
"telephone_number": "650-948-3700",
"fax_number": "650-941-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35383",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.