ELIZABETH NGUYEN TRAN OD
NPI 1205328028
Optometrist in Santa Rosa, CA

Q: What is Elizabeth Tran's NPI number?

The NPI number for Elizabeth Tran is 1205328028. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Q: What is Elizabeth Tran's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Tran was last updated on April 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2018PECOS Enrolled

3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 566-5974 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2022, Jan 3, 2022 (2 updates tracked since 2022).

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About Elizabeth Nguyen Tran Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH NGUYEN TRAN OD (NPI 1205328028) is an individual optometrist in Santa Rosa, California, licensed in California (OPT33757-TLG) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205328028

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameELIZABETH NGUYEN TRANCredential: OD

Location Address3925 OLD REDWOOD HWYSanta Rosa, CA 95403-1719

Mailing Address3925 Old Redwood HwySanta Rosa, CA 95403-1719

Phone(707) 566-5974

Sole ProprietorNo

Enumeration DateJune 6, 2018

Last NPPES UpdateApril 9, 20222 updates tracked since enumeration

NPPES CertifiedApril 9, 2022

✔ NPI 1205328028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · OPT33757-TLG

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3925 OLD REDWOOD HWY, Santa Rosa, CA 95403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Nguyen Tran Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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