Individual provider Active NPI

Lisa Le Tran, O.D.

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1871700252
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12936 Issued in CA
Practice address
1220 S Golden West Ave Ste B
Arcadia, CA 91007-7484
Phone
(626) 821-0222
NPI assigned
May 16, 2007
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12936T CA
Optometrist 152W00000X 12936 CA Primary

Addresses

Primary practice location

1220 S Golden West Ave Ste B
Arcadia, CA 91007-7484

Mailing address

7571 Amazon Dr Apt 3
Huntington Beach, CA 92647-8649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060313000766 CA Practitioner - Optometry 0345257549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1220 S Golden W Ave
Suite C
Arcadia, CA 91007-7484
Phone (626) 821-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12936TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Hsu Professional Corp Optometrist CurrentSince Sep 16, 2022 Accepting new patients
Accuvision Optometry Inc Optometrist PastSince Aug 1, 2012 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Fashion Optical Corporation PastSince May 22, 2022 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1220 S Golden West Ave
Ste B
Arcadia, CA 91007
Phone (626) 821-0222

1220 S Golden West Ave
Ste C
Arcadia, CA 91007
Phone (626) 821-0222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1871700252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7571 AMAZON DR APT 3",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S GOLDEN WEST AVE STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077484",
            "telephone_number": "626-821-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LISA",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12936T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.