Organization Active NPI

Loan Tran Optometric Inc.

  • Point of Service
  • Yuba City, CA
National Provider Identifier
1841531092
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
11400T Issued in CA
Legal business name
LOAN TRAN OPTOMETRIC INC.
Practice address
1282 Stabler LN
Suite 620
Yuba City, CA 95993-2625
Phone
(530) 755-9886
Fax
(530) 755-9885
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Loan K Tran, ODNPI 1124161112
Title
Ceo
Phone
(530) 755-9886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 11400T CA Primary

Addresses

Primary practice location

1282 Stabler LN
Suite 620
Yuba City, CA 95993-2625

Mailing address

1282 Stabler LN
Suite 620
Yuba City, CA 95993-2625
Phone (530) 755-9886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130412000335 CA Part B Supplier - Clinic/Group Practice 6800098054 Receives reassigned benefits from 1 practitioner
Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory

Locations

1282 Stabler Ln
Ste 620
Yuba City, CA 95993
Phone (530) 755-9886

950 Tharp Rd
Ste 102
Yuba City, CA 95993
Phone (530) 755-9886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1841531092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 STABLER LN",
            "address_2": "SUITE 620",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932625",
            "telephone_number": "530-755-9886",
            "fax_number": "530-755-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 STABLER LN",
            "address_2": "SUITE 620",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932625",
            "telephone_number": "530-755-9886",
            "fax_number": "530-755-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOAN TRAN OPTOMETRIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-755-9886",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "11400T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.