Active NPI
Denise Tran, O.D.
- Optometrist
- San Antonio, TX
National Provider Identifier
1962816769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8400TG
- Practice address
- 15900 La Cantera Pkwy
6697
San Antonio, TX 78256-2422 - Phone
- (210) 694-4110
- Fax
- (210) 694-4925
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8400TG | TX | Primary |
Addresses
Primary practice location
15900 La Cantera Pkwy
6697
San Antonio, TX 78256-2422
Mailing address
15900 La Cantera Pkwy
6697
San Antonio, TX 78256-2422
Phone (210) 694-4110
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170206000383 | TX | Practitioner - Optometry | 1557644135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8400 | TX | MD | General Practice Dentistry |
| 8400TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1962816769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15900 LA CANTERA PKWY",
"address_2": "6697",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782562422",
"telephone_number": "210-694-4110",
"fax_number": "210-694-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15900 LA CANTERA PKWY",
"address_2": "6697",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782562422",
"telephone_number": "210-694-4110",
"fax_number": "210-694-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DENISE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8400TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.