Individual provider Active NPI

Haley Yen Nguyen Tran

  • Optometrist
  • Pflugerville, TX
National Provider Identifier
1831868447
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10418 Issued in TX
Practice address
208 Grand Avenue Pkwy
Pflugerville, TX 78660-1892
Phone
(512) 885-2134
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 10418 TX Primary

Addresses

Primary practice location

208 Grand Avenue Pkwy
Pflugerville, TX 78660-1892

Mailing address

208 Grand Avenue Pkwy
Pflugerville, TX 78660-1892
Phone (512) 885-2134

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
I20210929003091 TX Practitioner - Optometry 6507263803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 Grand Ave Pkwy
Pflugerville, TX 78660-1892
Phone (601) 316-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10418TXMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Aura Eye Center Optometrist CurrentSince Jul 1, 2023 Accepting new patients

Locations

208 Grand Avenue Pkwy
Pflugerville, TX 78660
Phone (601) 316-4455

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1831868447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GRAND AVENUE PKWY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601892",
            "telephone_number": "512-885-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GRAND AVENUE PKWY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601892",
            "telephone_number": "512-885-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HALEY",
        "middle_name": "YEN NGUYEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.