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Individual

DR. JOHN J TRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
171 WEXFORD BAYNE RD, SUITE 102, WEXFORD, PA 15090-8790
(724) 933-7699
(724) 933-7696
Mailing address
171 WEXFORD BAYNE RD, SUITE 102, WEXFORD, PA 15090-8790
(724) 933-7699
(724) 933-7696

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000737
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000737
PA
152WS0006X
Sports Vision Optometrist
OEG000737
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1896021
HIGHMARK
PA
01
1962554501
NPI ENTITY 2-ORGANIZATION
PA
Enumeration date
08/13/2007
Last updated
08/13/2007
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