Individual provider Active NPI

Dennis Van Dinh Tran, O.D.

  • Optometrist
  • Kirkland, WA
National Provider Identifier
1922474931
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD.OD.60560321 Issued in WA
Practice address
11314 NE 124TH St
Kirkland, WA 98034-4303
Phone
(425) 821-5050
Fax
(425) 820-0508
NPI assigned
Aug 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 OD.OD.60560321 WA Primary

Addresses

Primary practice location

11314 NE 124TH St
Kirkland, WA 98034-4303

Mailing address

11314 NE 124TH St
Kirkland, WA 98034-4303
Phone (425) 821-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20151106001285 WA Practitioner - Optometry 0749590545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Qteyes PLLCGroup PAC ID 4981138922, 2 clinicians
Eric Vo OD LLCGroup PAC ID 5193052074, 5 clinicians

Practice addresses (Care Compare)

11314 NE 124TH St
Kirkland, WA 98034-4303
Phone (425) 821-5050

4401 4TH Ave S
Seattle, WA 98134-2311
Phone (206) 403-2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD.OD.60560321WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Qteyes PLLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Eric Vo OD LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Darran Kim O.D. PLLC Optometrist PastSince Aug 6, 2023 Accepting new patients

Locations

11314 NE 124th St
Kirkland, WA 98034
Phone (425) 821-5050

4401 4th Ave S
Seattle, WA 98134
Phone (206) 403-2027

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1922474931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344303",
            "telephone_number": "425-821-5050",
            "fax_number": "425-820-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344303",
            "telephone_number": "425-821-5050",
            "fax_number": "425-820-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DENNIS",
        "middle_name": "VAN DINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.60560321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.