Kristie Trang Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

114410T Issued in CA

Legal business name

KRISTIE TRANG OPTOMETRY, INC.

Practice address

9260 Sierra College Blvd Ste 500
Roseville, CA 95661-5932

Phone

(916) 791-2526

Fax

(916) 791-2561

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristie Trang, O.D.

Title

Owner

Phone

(916) 791-2526

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1861522500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 SIERRA COLLEGE BLVD STE 500",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615932",
            "telephone_number": "916-791-2526",
            "fax_number": "916-791-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SIERRA COLLEGE BLVD STE 500",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615932",
            "telephone_number": "916-791-2526",
            "fax_number": "916-791-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIE TRANG OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "TRANG",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-791-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "114410T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0114410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Roseville, CA
• Providers in Roseville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.