Provider Demographics
NPI:1124162318
Name:TRAN, AN OPTOMETRIC CORPORATION
Entity type:Organization
Organization Name:TRAN, AN OPTOMETRIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-530-4445
Mailing Address - Street 1:9896 KATELLA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6418
Mailing Address - Country:US
Mailing Address - Phone:714-530-4445
Mailing Address - Fax:714-530-4446
Practice Address - Street 1:9896 KATELLA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6418
Practice Address - Country:US
Practice Address - Phone:714-530-4445
Practice Address - Fax:714-530-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABOL6416152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA54380OtherSAFEGUARD VISION
CA16308OtherMEDICAL EYE SERVICES
CA20985OtherSPECTERA VISION
CA43812OtherDAVIS VISION
CA7145304445OtherVISION SERVICE PLAN
CAOP1331OtherEYE MED VISION
CAGSD005030Medicaid
CABITROtherUNIVERSAL CARE
CAGSD005030Medicaid
CAU86935Medicare UPIN
CAGSD005030Medicaid