Individual provider Active NPI

Ally Tran, OD

  • Optometrist
  • San Mateo, CA
National Provider Identifier
1710734017
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35965 Issued in CA
Practice address
1528 S El Camino Real Ste 101
San Mateo, CA 94402-3067
Phone
(650) 570-5955
Fax
(650) 570-7124
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35965 CA Primary

Addresses

Primary practice location

1528 S El Camino Real Ste 101
San Mateo, CA 94402-3067

Mailing address

1528 S El Camino Real Ste 101
San Mateo, CA 94402-3067

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
I20250714000344 CA Practitioner - Optometry 5890200554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sixth Optometric Care of California PCGroup PAC ID 1153804562, 9 clinicians
Marcie Arnesty-Olian OD a Prof CorpGroup PAC ID 8224222419, 3 clinicians

Practice addresses (Care Compare)

1528 S El Camino Real
Suite 101
San Mateo, CA 94402-3067
Phone (650) 570-5955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marcie Arnesty-Olian, OD, a Prof Corp Optometrist CurrentSince Sep 29, 2025 Accepting new patients

Locations

1528 S El Camino Real
Ste 101
San Mateo, CA 94402
Phone (650) 570-5955

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1710734017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 S EL CAMINO REAL STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 S EL CAMINO REAL STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023067",
            "telephone_number": "650-570-5955",
            "fax_number": "650-570-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ALLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.