Organization Active NPI

Simon Tran OD & Associates

  • Optometrist
  • Newport News, VA
National Provider Identifier
1699064030
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001714 Issued in VA
Legal business name
SIMON TRAN OD & ASSOCIATES
Practice address
12401 Jefferson Ave
Suite 1
Newport News, VA 23602-4311
Phone
(757) 877-0388
Fax
(757) 833-7229
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Simon Tran, O.D.
Title
Owner
Phone
(757) 877-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001714 VA Primary

Addresses

Primary practice location

12401 Jefferson Ave
Suite 1
Newport News, VA 23602-4311

Mailing address

800 Lombardy Ave
#8414
Newport News, VA 23606-3370
Phone (757) 877-0388

National Provider Directory

National Provider Directory

Locations

12401 Jefferson Ave
#1
Newport News, VA 23602
Phone (757) 877-0388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1699064030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LOMBARDY AVE",
            "address_2": "#8414",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063370",
            "telephone_number": "757-877-0388",
            "fax_number": "757-833-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 JEFFERSON AVE",
            "address_2": "SUITE 1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024311",
            "telephone_number": "757-877-0388",
            "fax_number": "757-833-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON TRAN OD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-877-0388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.