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Individual

DR. NGUYEN T TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1844 SAN MIGUEL DR STE 300C, WALNUT CREEK, CA 94596-4962
(916) 719-0615
Mailing address
1844 SAN MIGUEL DR STE 300C, WALNUT CREEK, CA 94596-4962
(510) 693-8053

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
14821
CA
152W00000X
Optometrist
56007317
PA
152WV0400X
Vision Therapy Optometrist
Primary
14821
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11973810
CAQH
Enumeration date
08/11/2008
Last updated
09/30/2020
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