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Organization
THAI TRAN OPTOMETRY CORPORATION
Active
Organization
THAI TRAN OPTOMETRY CORPORATION
Active
Other names
Atlas Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAI TRAN O.D. (PRESIDENT)
(714) 617-5030
Entity
Organization
Contact information
Practice address
1500 ADAMS AVE STE 102, COSTA MESA, CA 92626
(714) 200-3629
Mailing address
1500 ADAMS AVE STE 102, COSTA MESA, CA 92626-3864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14289TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
14289TLG
CA
152WP0200X
Pediatric Optometrist
14289TLG
CA
Other
Enumeration date
07/10/2018
Last updated
04/04/2019
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