Provider Demographics
NPI:1831088970
Name:TRAN, MARILYN (OD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:93 GREAT CIRCLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-7132
Mailing Address - Country:US
Mailing Address - Phone:203-927-6802
Mailing Address - Fax:
Practice Address - Street 1:501 BOSTON POST RD STE 13
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3529
Practice Address - Country:US
Practice Address - Phone:203-795-3937
Practice Address - Fax:203-891-0737
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3.003407152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist