Provider Demographics
NPI:1962986067
Name:DR JOHN TRAN & ASSOCIATES PLLC
Entity type:Organization
Organization Name:DR JOHN TRAN & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:510-499-5866
Mailing Address - Street 1:11013 INSIDE LOOP
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-8887
Mailing Address - Country:US
Mailing Address - Phone:510-499-5866
Mailing Address - Fax:
Practice Address - Street 1:935 OVIEDO BLVD
Practice Address - Street 2:SUITE 1007
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-3518
Practice Address - Country:US
Practice Address - Phone:407-720-9968
Practice Address - Fax:407-845-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty