Active NPI
Julie Tran, O.D.
- Optometrist
- Brea, CA
National Provider Identifier
1891838462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11761T
- Practice address
- 100 Brea Mall
Sears Building
Brea, CA 92821-5717 - Phone
- (714) 256-7355
- Fax
- (714) 530-4446
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11761T | CA | Primary |
Addresses
Primary practice location
100 Brea Mall
Sears Building
Brea, CA 92821-5717
Mailing address
1974 San Remo Dr
Laguna Beach, CA 92651-2626
Phone (714) 612-5041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0117610 | Medicaid | CA | |
| 122086 | Other | CA | EYE MED VISION |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9896 Katella Ave
Suite B
Anaheim, CA 92804-6400
Phone (714) 530-4445
9896 Katella Ave B
Anaheim, CA 92804-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11761T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tran, an Optometric Corporation | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
9896 Katella Ave
Ste B
Anaheim, CA 92804
Phone (714) 530-4445
Organizations & group practices 2
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.
-
dba katella optometric center
- Optometrist
- Anaheim, CA
- NPI 1124162318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891838462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1974 SAN REMO DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512626",
"telephone_number": "714-612-5041",
"fax_number": "714-530-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREA MALL",
"address_2": "SEARS BUILDING",
"city": "BREA",
"state": "CA",
"postal_code": "928215717",
"telephone_number": "714-256-7355",
"fax_number": "714-530-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11761T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0117610",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED VISION",
"identifier": "122086",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.