Individual provider Active NPI

Lawrence S Tran, OD

  • Optometrist
  • Saint Croix Falls, WI
National Provider Identifier
1730143967
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2608-035 Issued in WI
Practice address
135 S Washington St
Saint Croix Falls, WI 54024-4414
Phone
(715) 483-3259
Fax
(608) 571-0088
NPI assigned
Apr 14, 2006
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2504 MN
Optometrist 152W00000X 2608-035 WI Primary

Addresses

Primary practice location

135 S Washington St
Saint Croix Falls, WI 54024-4414

Mailing address

PO Box 767
Saint Croix Falls, WI 54024-0767
Phone (715) 483-3259

Other identifiers 1

IdentifierTypeStateIssuer
701506200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040824000260 WI Practitioner - Optometry 8224001490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 S Washington St
Saint Croix Falls, WI 54024-4414
Phone (715) 483-3259

Merit-based Incentive Payment System (MIPS)

Final score
79.7 of 100Reported as group
Quality
59.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2504MNMDMarriage & Family Therapist
2608-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix Falls Eye Associates Inc. Optometrist Current Accepting new patients
St Croix Falls Eye Associates Inc. Optometrist CurrentSince Jul 1, 2004 Accepting new patients
St Croix Falls Eye Associates Optometrist CurrentSince Jul 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lawrence.tran@direct.revolutionehr.com

Organizations & group practices 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1730143967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540240767",
            "telephone_number": "715-483-3259",
            "fax_number": "715-483-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S WASHINGTON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244414",
            "telephone_number": "715-483-3259",
            "fax_number": "608-571-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LAWRENCE",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2504",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2608-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701506200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Croix Falls, WI

Sources for this page

Verify at the official NPI Registry.