Individual
DR. NGUYEN T TRAN
Active
Individual
DR. NGUYEN T TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
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
Update your record
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