Individual provider Active NPI

Julie Tran, O.D.

  • Optometrist
  • Brea, CA
National Provider Identifier
1891838462
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11761T Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SD0117610MedicaidCA
122086OtherCAEYE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000566 CA Practitioner - Optometry 6103802608 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11761TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tran, an Optometric Corporation Optometrist CurrentSince Feb 15, 2025 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.

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

Verify at the official NPI Registry.