Organization
PASTORE-TRAN EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE TRAN O.D. (OWNER)
(321) 639-2020
Entity
Organization
Contact information
Practice address
1285 US HIGHWAY 1, ROCKLEDGE, FL 32955-2711
(321) 639-2020
Mailing address
P.O. BOX 560580, ROCKLEDGE, FL 32956-0580
(321) 693-4124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC3723
FL
152W00000X
Optometrist
Primary
OPC3769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003516800
—
FL
Enumeration date
10/02/2006
Last updated
04/15/2018
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