Individual provider Active NPI

Chris Tran, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1730736588
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5744 Issued in FL
Practice address
2188 Nova Village Dr
Davie, FL 33317-7011
Phone
(678) 357-6894
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC5744 FL Primary

Addresses

Primary practice location

2188 Nova Village Dr
Davie, FL 33317-7011

Mailing address

2188 Nova Village Dr
Davie, FL 33317-7011

Other practice location 1

2521 S University Dr
Davie, FL 33324-5819
Phone (954) 370-5883

Other identifiers 1

IdentifierTypeStateIssuer
105691100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200316000591 FL Practitioner - Optometry 2062840515 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Vision Services, Inc. Optometrist CurrentSince Sep 1, 2020 Accepting new patients
New Vision Unlimited LLC Optometrist CurrentSince Jan 25, 2022 Accepting new patients
Sightrite Medical FL PLLC Optometrist CurrentSince Feb 1, 2020 Accepting new patients

Locations

575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226

2521 S University Dr
Davie, FL 33324
Phone (954) 327-8094

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

13852 SW 88th St
Miami, FL 33186
Phone (305) 385-6885

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

12550 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

17120 Royal Palm Blvd
Ste 2
Weston, FL 33326
Phone (305) 812-8424

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

267 Broadway
Brooklyn, NY 11211

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1730736588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 NOVA VILLAGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 NOVA VILLAGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177011",
            "telephone_number": "678-357-6894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2521 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333245819",
            "country_code": "US",
            "telephone_number": "954-370-5883",
            "fax_number": "954-370-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105691100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.