Active NPI
Larry Tran, OD
- Optometrist
- Sierra Vista, AZ
National Provider Identifier
1710599097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34657
- Practice address
- 101 N Coronado Dr Ste a
Sierra Vista, AZ 85635-6359 - Phone
- (520) 459-1529
- NPI assigned
- Aug 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34657 | CA | Primary |
Addresses
Primary practice location
101 N Coronado Dr Ste a
Sierra Vista, AZ 85635-6359
Mailing address
101 N Coronado Dr Ste a
Sierra Vista, AZ 85635-6359
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Rancho Cucamonga, CA
- NPI 1649280454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1710599097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N CORONADO DR STE A",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856356359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N CORONADO DR STE A",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856356359",
"telephone_number": "520-459-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LARRY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
- Kendie Sue Tilden, NURSE PRACTITIONER
- McKay Rees Tingey, PA-C
- Esther Toledo, REGISTERED NURSE
- Ana Rebecca Toothman, MA MFT
- Touch of Life Massage (Leverage Medical Massage and Wellness)
- Transmed
- Transmed of Southern Arizona
- Transportation Express Shuttle
- Trinity Outpatient Physical Therapy LLC
- Trinity Visiting Nurse and Home Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.