Provider Demographics
NPI:1215280888
Name:YEN M. TRAN, O.D.
Entity type:Organization
Organization Name:YEN M. TRAN, O.D.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:617-270-3256
Mailing Address - Street 1:50 WORCESTER RD # 60
Mailing Address - Street 2:C/O PEARLE VISION
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5361
Mailing Address - Country:US
Mailing Address - Phone:508-879-9444
Mailing Address - Fax:508-879-4344
Practice Address - Street 1:50 WORCESTER RD # 60
Practice Address - Street 2:C/O PEARLE VISION
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5361
Practice Address - Country:US
Practice Address - Phone:508-879-9444
Practice Address - Fax:508-879-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4269152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty