Individual provider Active NPI

Jessica T Tran, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1699909176
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007392 Issued in NY
Practice address
146 7TH Ave Apt 2
Brooklyn, NY 11215-2237
Phone
(832) 606-1339
NPI assigned
May 12, 2009
Last updated
May 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007392 NY Primary

Addresses

Primary practice location

146 7TH Ave Apt 2
Brooklyn, NY 11215-2237

Mailing address

146 7TH Ave Apt 2
Brooklyn, NY 11215-2237
Phone (832) 606-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100703000005 NY Practitioner - Optometry 7214068428 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007392NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Optical Optometrist CurrentSince Apr 22, 2010 Accepting new patients
L Eye C Medical Inc Optometrist CurrentSince Sep 30, 2021 Accepting new patients
MD Optics LLC CurrentSince Jul 1, 2023 Accepting new patients
Park Eyecare PLLC Optometrist PastSince Feb 6, 2022 Accepting new patients
Pamel Vision and Laser Group Past Accepting new patients

Locations

2136 44th Dr
Long Island City, NY 11101
Phone (718) 268-7709

4413 Queens Blvd
Sunnyside, NY 11104
Phone (718) 784-2477

Organizations & group practices 5

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1699909176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 7TH AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152237",
            "telephone_number": "832-606-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 7TH AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152237",
            "telephone_number": "832-606-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JESSICA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.