Active NPI
Pastore-Tran Eyecare, Inc.
- Optometrist
- Rockledge, FL
National Provider Identifier
1700979424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3769
- Legal business name
- PASTORE-TRAN EYECARE, INC.
- Practice address
- 1285 US Highway 1
Rockledge, FL 32955-2711 - Phone
- (321) 639-2020
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacqueline Tran, O.D.
- Title
- Owner
- Phone
- (321) 639-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3769 | FL | Primary |
| Optometrist | 152W00000X | OPC3723 | FL |
Addresses
Primary practice location
1285 US Highway 1
Rockledge, FL 32955-2711
Mailing address
P.O. Box 560580
Rockledge, FL 32956-0580
Phone (321) 693-4124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003516800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5500 Stadium Pkwy
Ste 102
Melbourne, FL 32940
Phone (321) 639-2020
1285 US Highway 1
Rockledge, FL 32955
Phone (321) 631-2811
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Melbourne, FL
- NPI 1720025711
-
- Optometrist
- Rockledge, FL
- NPI 1932306792
-
- Optometrist
- Viera, FL
- NPI 1730166810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523750400000",
"number": "1700979424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 560580",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329560580",
"telephone_number": "321-693-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 US HIGHWAY 1",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552711",
"telephone_number": "321-639-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASTORE-TRAN EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2018-04-15",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-639-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3769",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3723",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003516800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.