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Thao Nguyen Tran MD SC

NPI 1639509789ActiveOrganization· Ophthalmology· Kenosha, WI

Ophthalmology in Kenosha, Wisconsin, registered in NPPES in November 2013. The authorized official on file is Thao Nguyen Tran, Physician. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1639509789
StatusActive
Entity typeOrganization
NPI issuedNov 26, 2013
Last updated in NPPESJun 18, 2026
Certified by providerJun 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000X——
Optometrist152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other Ophthalmology providers in Kenosha

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