Provider Demographics
NPI:1427357169
Name:TRANSVISION EYECARE PLLC
Entity type:Organization
Organization Name:TRANSVISION EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:360-841-9135
Mailing Address - Street 1:14583 SE NATALYA ST
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4203
Mailing Address - Country:US
Mailing Address - Phone:503-705-3222
Mailing Address - Fax:360-225-3726
Practice Address - Street 1:1486 DIKE ACCESS RD
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:WA
Practice Address - Zip Code:98674-9359
Practice Address - Country:US
Practice Address - Phone:360-841-9135
Practice Address - Fax:360-225-3726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty