Organization
THOMASVTRAN, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS VAN TRAN OD (PRESIDENT)
(843) 522-0613
Entity
Organization
Contact information
Practice address
350 ROBERT SMALLS PKWY, BEAUFORT, SC 29906-4284
(843) 522-9755
(843) 521-3085
Mailing address
20 HAYEK ST, BEAUFORT, SC 29907-2068
(843) 522-0613
(843) 521-3085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1238, SC1239
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
EMILY TRAN'S SSN
SC
01
—
1518030485
DR. EMILY B. TRAN'S NPI #
SC
01
—
1871664904
DR THOMAS V TRAN'S NPI #
SC
05
—
D12387
—
SC
05
—
D12396
—
SC
05
—
DA9742
—
SC
01
—
DB3713
RAILROAD MC GROUP#
SC
01
—
P00100411
RAILROAD MC PIN #
SC
Enumeration date
04/01/2007
Last updated
08/22/2020
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