Individual
THAO PHUONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
110 CIVIC CENTER DR STE 204, VISTA, CA 92084-6038
(760) 753-3665
(408) 969-1653
Mailing address
110 CIVIC CENTER DR STE 204, VISTA, CA 92084-6038
(760) 753-3665
(408) 969-1653
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
12867
CA
Other
Enumeration date
11/03/2006
Last updated
02/09/2024
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