Individual provider Active NPI

Thuong Tran

  • Optometrist
  • Malden, MA
National Provider Identifier
1750743340
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5136 Issued in MA
Practice address
1 Highland Ave
Malden, MA 02148-6603
Phone
(603) 475-4148
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5136 MA Primary

Addresses

Primary practice location

1 Highland Ave
Malden, MA 02148-6603

Mailing address

1 Highland Ave
Malden, MA 02148-6603
Phone (603) 475-4148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160719000739 MA Practitioner - Optometry 7911290663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians

Practice addresses (Care Compare)

1 Scammell St
Quincy, MA 02169-6706
Phone (617) 773-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5136MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients

Locations

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

1 Highland Ave
Malden, MA 02148
Phone (603) 475-4148

1 Scammell St
Quincy, MA 02169
Phone (617) 773-1353

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Interoperability endpoints

  • Direct secure messaging: 27260@visionworks.emadirect.md

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1750743340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGHLAND AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486603",
            "telephone_number": "603-475-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHLAND AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486603",
            "telephone_number": "603-475-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THUONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.