Individual provider Active NPI

Austin Tran, OD

  • Optometrist
  • Lakeside, CA
National Provider Identifier
1881262996
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34881 Issued in CA
Practice address
9710 Winter Gardens Blvd Ste a
Lakeside, CA 92040-3866
Phone
(619) 443-1075
Fax
(619) 443-9382
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34881 CA Primary

Addresses

Primary practice location

9710 Winter Gardens Blvd Ste a
Lakeside, CA 92040-3866

Mailing address

13322 Ramona Dr
Garden Grove, CA 92843-2643
Phone (619) 443-1075

Other practice location 1

1400 Burlingame Ave
Burlingame, CA 94010-4111
Phone (512) 739-0706

Other practice location 2

1600 El Camino Real
South San Francisco, CA 94080-1206
Phone (650) 992-5881

Other practice location 3

9628 Campo Rd Ste C
Spring Valley, CA 91977-1233
Phone (619) 463-9318

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
I20250321000556 CA Practitioner - Optometry 8628590403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Austin Tran OD Optometric CorpGroup PAC ID 5092237875, 3 clinicians

Practice addresses (Care Compare)

9710 Winter Gardens Blvd
Suite a
Lakeside, CA 92040-3866
Phone (619) 443-1075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34881CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Austin Tran, O.D., Optometric Corp. Optometrist CurrentSince Apr 1, 2025 Accepting new patients
John C. Fleming Optometrist CurrentSince Oct 14, 2023 Accepting new patients
Dr Austin Tran OD Professional Corporation Optometrist CurrentSince Jul 17, 2021 Accepting new patients

Locations

1400 Burlingame Ave
Burlingame, CA 94010
Phone (512) 739-0706

9710 Winter Gardens Blvd
Ste A
Lakeside, CA 92040
Phone (619) 443-1075

9628 Campo Rd
Ste C
Spring Valley, CA 91977
Phone (619) 463-9318

9628 Campo Rd
Spring Valley, CA 91977
Phone (619) 463-9318

Organizations & group practices 3

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1881262996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13322 RAMONA DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432643",
            "telephone_number": "619-443-1075",
            "fax_number": "619-443-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 WINTER GARDENS BLVD STE A",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920403866",
            "telephone_number": "619-443-1075",
            "fax_number": "619-443-9382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Burlingame Ave",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104111",
            "country_code": "US",
            "telephone_number": "512-739-0706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940801206",
            "country_code": "US",
            "telephone_number": "650-992-5881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9628 Campo Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919771233",
            "country_code": "US",
            "telephone_number": "619-463-9318",
            "fax_number": "619-463-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "AUSTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, CA

Sources for this page

Verify at the official NPI Registry.