Individual provider Active NPI

Jonathan Farmer Tran, O.D.

  • Optometrist
  • Pasadena, TX
National Provider Identifier
1881945079
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8079TG Issued in TX
Practice address
3405 Spencer Hwy
Pasadena, TX 77504-1107
Phone
(281) 875-2020
Fax
(713) 946-7257
NPI assigned
Sep 27, 2012
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8079TG TX Primary

Addresses

Primary practice location

3405 Spencer Hwy
Pasadena, TX 77504-1107

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

1635A S Voss Rd
Houston, TX 77057-2622
Phone (713) 954-2020

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
I20150302000945 TX Practitioner - Optometry 5395061766 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8079TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Wink Eye Care & Eyewear PLLC Optometrist CurrentSince Apr 30, 2015 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Med Southwest, PLLC Optometrist PastSince Nov 22, 2021 Accepting new patients
Mann Eye Center Optometrist Past Accepting new patients
Carlos Manrique de Lara Mdpa Optometrist PastSince Nov 20, 2012 Accepting new patients

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

1461 Wirt Rd
Houston, TX 77055
Phone (210) 286-9475

1635A S Voss Rd
Houston, TX 77057
Phone (713) 954-2020

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

3405 Spencer Hwy
Pasadena, TX 77504
Phone (713) 946-9300

825 Southmore Ave
Ste 821
Pasadena, TX 77502
Phone (713) 473-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1881945079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041107",
            "telephone_number": "281-875-2020",
            "fax_number": "713-946-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635A S Voss Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770572622",
            "country_code": "US",
            "telephone_number": "713-954-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JONATHAN",
        "middle_name": "FARMER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8079TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.