Individual provider Active NPI

Theresa T Tran, O.D.

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1699278630
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33900TLG Issued in CA
Practice address
7250 Carson Blvd
Long Beach, CA 90808-2358
Phone
(562) 377-0941
Fax
(562) 420-6459
NPI assigned
Mar 15, 2018
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33900TLG CA Primary

Addresses

Primary practice location

7250 Carson Blvd
Long Beach, CA 90808-2358

Mailing address

7407 N Wallace Ave
Kansas City, MO 64158-1246
Phone (816) 812-1773

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201012001288 CA Practitioner - Ophthalmology 2961822085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Ryan Stybel OD IncGroup PAC ID 5092014357, 6 clinicians

Practice addresses (Care Compare)

940 N Fairfax Ave
West Hollywood, CA 90046-7204
Phone (323) 651-5646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33900TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Look Optometry Inc Optometrist CurrentSince Feb 3, 2026 Accepting new patients
Beverly Hills Institute of Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients
Ryan Stybel OD Inc. Optometrist CurrentSince Feb 3, 2026 Accepting new patients

Locations

416 N Bedford Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 271-7000

7629 Melrose Ave
Los Angeles, CA 90046
Phone (323) 401-0661

451 Manhattan Beach Blvd
Ste D120
Manhattan Beach, CA 90266
Phone (310) 796-5665

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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1699278630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 N WALLACE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581246",
            "telephone_number": "816-812-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 CARSON BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082358",
            "telephone_number": "562-377-0941",
            "fax_number": "562-420-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THERESA",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33900TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.