Individual provider Active NPI

Michael Tran, O.D.

  • Optometrist
  • Vista, CA
National Provider Identifier
1790137529
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33466 Issued in CA
Practice address
1755 Hacienda Dr
Vista, CA 92081-4546
Phone
(760) 631-0654
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 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 33466 CA Primary

Addresses

Primary practice location

1755 Hacienda Dr
Vista, CA 92081-4546

Mailing address

1755 Hacienda Dr
Vista, CA 92081-4546
Phone (760) 631-0654

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
I20170104001052 CA Practitioner - Optometry 8123309234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marsha Howard Optometric CorpGroup PAC ID 5294114021, 6 clinicians

Practice addresses (Care Compare)

2200 E Willow St
Signal Hill, CA 90755-2132
Phone (562) 427-8285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marsha Howard Optometric Corp Optometrist CurrentSince Oct 1, 2022 Accepting new patients

Locations

2200 E Willow St
Signal Hill, CA 90755
Phone (562) 424-2837

Organizations & group practices 1

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1790137529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814546",
            "telephone_number": "760-631-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814546",
            "telephone_number": "760-631-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.