Individual
MATTHEW TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 NORTHSHORE BLVD STE C, SLIDELL, LA 70460-6849
(985) 641-1228
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2057-004AT
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2025
Last updated
07/22/2025
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