Individual
JUSTIN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
425 S AVALON PARK BLVD STE 300, ORLANDO, FL 32828-6701
(407) 658-6580
Mailing address
1100 LAKE SHADOW CIR APT 2202, MAITLAND, FL 32751-7548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6546
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2024
Last updated
07/16/2024
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