Provider Demographics
NPI:1487088365
Name:TRAN, THUAN T (OD)
Entity type:Individual
Prefix:
First Name:THUAN
Middle Name:T
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3742 FRYEBURG PL
Mailing Address - Street 2:ATTN: DR. THUAN TRAN
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6022
Mailing Address - Country:US
Mailing Address - Phone:770-842-7799
Mailing Address - Fax:
Practice Address - Street 1:3742 FRYEBURG PL
Practice Address - Street 2:ATTN: DR. THUAN TRAN
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6022
Practice Address - Country:US
Practice Address - Phone:770-842-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002784152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist