Provider Demographics
NPI:1962554501
Name:JOHN J TRANT, O.D. & ASSOCIATES
Entity type:Organization
Organization Name:JOHN J TRANT, O.D. & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TRANT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-933-7699
Mailing Address - Street 1:171 WEXFORD BAYNE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8790
Mailing Address - Country:US
Mailing Address - Phone:724-933-7699
Mailing Address - Fax:724-933-7696
Practice Address - Street 1:171 WEXFORD BAYNE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8790
Practice Address - Country:US
Practice Address - Phone:724-933-7699
Practice Address - Fax:724-933-7696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000737152W00000X, 152WC0802X, 152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
Not Answered152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty