Individual provider Active NPI

Felipe Thoai Tran, O.D.

  • Optometrist
  • Laredo, TX
National Provider Identifier
1790897320
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4732-T Issued in TX
Practice address
5502 San Bernardo Ave
Ste 100-a
Laredo, TX 78041-3008
Phone
(956) 712-3022
Fax
(956) 712-3022
NPI assigned
Aug 31, 2006
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4732-T TX Primary

Addresses

Primary practice location

5502 San Bernardo Ave
Ste 100-a
Laredo, TX 78041-3008

Mailing address

5502 San Bernardo Ave
Ste 100-a
Laredo, TX 78041-3008
Phone (956) 712-3022

Other identifiers 3

IdentifierTypeStateIssuer
E35QOtherTXBLUE CROSS & BLUE SHIELD
742854509OtherTXMERCY HEALTH PLANS
0193195-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100824000043 TX Practitioner - Optometry 2466576764 Practice locations: Laredo, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4732-TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1790897320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 SAN BERNARDO AVE",
            "address_2": "STE 100-A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413008",
            "telephone_number": "956-712-3022",
            "fax_number": "956-712-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 SAN BERNARDO AVE",
            "address_2": "STE 100-A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413008",
            "telephone_number": "956-712-3022",
            "fax_number": "956-712-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "FELIPE",
        "middle_name": "THOAI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4732-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "E35Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "742854509",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193195-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.