Active NPI
Kristie My Trang, O.D.
- Optometrist
- Roseville, CA
National Provider Identifier
1992774699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11441
- Practice address
- 1422 Blue Oaks Blvd
Suite #150
Roseville, CA 95747-5196 - Phone
- (916) 783-3937
- Fax
- (916) 783-3935
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 11441 | CA | Primary |
Addresses
Primary practice location
1422 Blue Oaks Blvd
Suite #150
Roseville, CA 95747-5196
Mailing address
1422 Blue Oaks Blvd
Suite #150
Roseville, CA 95747-5196
Phone (916) 783-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1422 Blue Oaks Blvd
Suite 150
Roseville, CA 95747-5196
Phone (916) 783-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11441 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Oaks Eyecare Inc | Optometrist | Current | Accepting new patients |
| Kristie Trang Optometry, Inc. | Optometrist | Past | Accepting new patients |
Locations
9260 Sierra College Blvd
Ste 500
Roseville, CA 95661
Phone (916) 791-2526
1422 Blue Oaks Blvd
Ste 150
Roseville, CA 95747
Phone (916) 783-3937
Organizations & group practices 2
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.
-
- Optometrist
- Roseville, CA
- NPI 1679862544
-
- Optometrist
- Roseville, CA
- NPI 1073582771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1992774699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 BLUE OAKS BLVD",
"address_2": "SUITE #150",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957475196",
"telephone_number": "916-783-3937",
"fax_number": "916-783-3935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 BLUE OAKS BLVD",
"address_2": "SUITE #150",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957475196",
"telephone_number": "916-783-3937",
"fax_number": "916-783-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRANG",
"first_name": "KRISTIE",
"middle_name": "MY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.