Individual provider Active NPI

Quyen Huu Tran, O.D.

  • Optometrist
  • North Richland Hills, TX
National Provider Identifier
1962426270
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5347T Issued in TX
Practice address
9101 N Tarrant Pkwy
North Richland Hills, TX 76182-8655
Phone
(214) 718-0813
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5347T TX Primary

Addresses

Primary practice location

9101 N Tarrant Pkwy
North Richland Hills, TX 76182-8655

Mailing address

105 Woodland CV
Coppell, TX 75019-2034
Phone (972) 745-1671

Other identifiers 1

IdentifierTypeStateIssuer
103556003MedicaidTX

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
I20061017000300 TX Practitioner - Optometry 6305842287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5347TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quyen H. Tran, O.D., PLLC Optometrist CurrentSince Oct 18, 2023 Accepting new patients

Locations

1628 W Hebron Pkwy
Ste 134
Carrollton, TX 75010
Phone (972) 939-1900

9101 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 514-0100

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1962426270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WOODLAND CV",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192034",
            "telephone_number": "972-745-1671",
            "fax_number": "972-745-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N TARRANT PKWY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828655",
            "telephone_number": "214-718-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "QUYEN",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5347T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103556003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.