Individual
THAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1130 WASHINGTON ST, COLUMBUS, IN 47201-5720
(812) 379-9893
(812) 379-9904
Mailing address
1130 WASHINGTON ST, COLUMBUS, IN 47201-5720
(812) 379-9893
(812) 379-9904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004137A
IN
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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