Provider Demographics
NPI:1699064030
Name:SIMON TRAN OD & ASSOCIATES
Entity type:Organization
Organization Name:SIMON TRAN OD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-877-0388
Mailing Address - Street 1:800 LOMBARDY AVE
Mailing Address - Street 2:#8414
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3370
Mailing Address - Country:US
Mailing Address - Phone:757-877-0388
Mailing Address - Fax:757-833-7229
Practice Address - Street 1:12401 JEFFERSON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4311
Practice Address - Country:US
Practice Address - Phone:757-877-0388
Practice Address - Fax:757-833-7229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001714152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty