Individual
TONY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 805-7022
(203) 596-2230
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3134
CT
152W00000X
Optometrist
5348
MA
Other
Enumeration date
06/04/2019
Last updated
03/28/2022
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