Jeannie Tran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60671452 Issued in WA

Practice address

20 N Evergreen Rd Ste 102
Spokane Valley, WA 99216-5083

Phone

(509) 924-5665

NPI assigned

Jul 19, 2016

Last updated

May 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Justin Burgerson Eyecare Services LLCGroup PAC ID 2961816277, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Justin Burgerson Eyecare Services LLC

  dba Valley Vision Center

  • Optometrist
  • Spokane Valley, WA
  • NPI 1891384616
  Medicare reassignment Care Compare group NPD
• Kosnoski Eye Care Inc

  • Optometrist
  • Kent, WA
  • NPI 1003995747
  Medicare reassignment NPD

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1790138329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N EVERGREEN RD STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992165083",
            "telephone_number": "509-924-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N EVERGREEN RD STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992165083",
            "telephone_number": "509-924-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JEANNIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2021-05-15",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60671452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Balance Wellness, LLC
• Landon Toth, LMHC
• Mirna Nabil Toukatly, MD
• Rayanne Jaunita Towles
• Andrea Renee Tracy, RN
• Valerie Tran
• Transformation Pathways Counseling PLLC
• Michael Allan Trantow, D.D.S.
• Stephanie Gayle Trapp, CDP
• Casey Traver, MOTR/L

• Optometrist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.