Organization Active NPI

Tram Ho Petersen Inc.

Doing business as Eye Style Optometry

  • Medical Specialty Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1710661871
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
TRAM HO PETERSEN INC.
Doing business as
Eye Style Optometry
Practice address
5814 Van Allen Way Ste 146
Carlsbad, CA 92008-7359
Phone
(442) 244-5227
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Tram Ho Petersen, OD
Title
Optometrist
Phone
(805) 551-5195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

5814 Van Allen Way Ste 146
Carlsbad, CA 92008-7359

Mailing address

5814 Van Allen Way Ste 146
Carlsbad, CA 92008-7359

Other names 1

  • Eye Style Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230817003128 CA Part B Supplier - Clinic/Group Practice 2769844018 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Locations

5814 Van Allen Way
Ste 146
Carlsbad, CA 92008
Phone (760) 421-6507

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": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1710661871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 VAN ALLEN WAY STE 146",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 VAN ALLEN WAY STE 146",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087359",
            "telephone_number": "442-244-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAM HO PETERSEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "TRAM",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "805-551-5195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Style Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.

Verify at the official NPI Registry.