Organization Active NPI

Trangdai Vuong Hoang-Tran, O.D., S.C.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1962795849
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010397 Issued in IL
Legal business name
TRANGDAI VUONG HOANG-TRAN, O.D., S.C.
Practice address
7018-20 N Western Ave
Chicago, IL 60645-3416
Phone
(773) 274-1880
Fax
(773) 274-1881
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Dr. Trangdai Vuong Hoang-Tran, O.D.NPI 1245549369
Title
President
Phone
(773) 895-4799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046010397 IL Primary

Addresses

Primary practice location

7018-20 N Western Ave
Chicago, IL 60645-3416

Mailing address

7018-20 N Western Ave
Chicago, IL 60645-3416
Phone (773) 274-1880

Other names 1

  • XCEPTIONAL EYE CARE, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000605 IL Part B Supplier - Clinic/Group Practice 3678748712 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

7018 N Western Ave
Chicago, IL 60645
Phone (773) 274-1880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1962795849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018-20 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453416",
            "telephone_number": "773-274-1880",
            "fax_number": "773-274-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018-20 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453416",
            "telephone_number": "773-274-1880",
            "fax_number": "773-274-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANGDAI VUONG HOANG-TRAN, O.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "HOANG-TRAN",
        "authorized_official_first_name": "TRANGDAI",
        "authorized_official_middle_name": "VUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-895-4799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XCEPTIONAL EYE CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.