Provider Demographics
NPI:1285746321
Name:TRAN, CHRIS M (OD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:M
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8538 INTERSTATE HIGHWAY 35 S
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-4000
Mailing Address - Country:US
Mailing Address - Phone:210-984-2020
Mailing Address - Fax:
Practice Address - Street 1:8538 INTERSTATE HIGHWAY 35 S
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-4000
Practice Address - Country:US
Practice Address - Phone:210-984-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5645152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F5060Medicare PIN