Mychele Tran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7142T Issued in TX

Practice address

2615 W Pioneer Pkwy Ste 105
Grand Prairie, TX 75051-3602

Phone

(972) 636-8070

NPI assigned

Jan 25, 2008

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Phuong Mychele Tran Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• HP Pure Vision Eye Care PLLC

  • Optometrist
  • Grand Prairie, TX
  • NPI 1699905695
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1932386521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 W PIONEER PKWY STE 105",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513602",
            "telephone_number": "972-636-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 W PIONEER PKWY STE 105",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513602",
            "telephone_number": "972-636-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MYCHELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7142T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "TRAN",
            "middle_name": "MYCHELE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janel K Tran, PHARM.D
• Kim Tran, NP
• Mai Thi Tran, MD
• Mary Linda Tran
• Michael Dung Tran
• Neenee Tran
• Nicole Phuong Tran, D.C.
• Oanh Thi Tran
• Thu Tran, OTR
• Trans-Medic Solution LLC

• Optometrist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.