Individual provider Active NPI

Tara Anh Tran, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1801980685
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
DA2013 Issued in MD
Practice address
5300 Overton Ridge Blvd
Fort Worth, TX 76132-3301
Phone
(817) 292-9888
Fax
(817) 210-0039
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X DA2013 MD Primary
Optometrist 152W00000X 7316T TX

Addresses

Primary practice location

5300 Overton Ridge Blvd
Fort Worth, TX 76132-3301

Mailing address

1308 Tanglewood Dr
Mansfield, TX 76063-7696
Phone (817) 292-9888

Other names 1

  • Lang Tran Former name

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
I20091026000283 TX Practitioner - Optometry 8325185283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5300 Overton Ridge Blvd
Fort Worth, TX 76132-3301
Phone (817) 292-9888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA2013MDMDOptometrist
7316TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced TT Vision, LLC CurrentSince Oct 1, 2009 Accepting new patients

Locations

5300 Overton Ridge Blvd
Ft Worth, TX 76132
Phone (817) 210-0002

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1801980685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 TANGLEWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637696",
            "telephone_number": "817-292-9888",
            "fax_number": "817-210-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 OVERTON RIDGE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323301",
            "telephone_number": "817-292-9888",
            "fax_number": "817-210-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TARA",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA2013",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7316T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANG",
            "last_name": "TRAN",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.