Provider Demographics
NPI:1013211523
Name:TRAN, KARI (OD)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2380 MONTPELIER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2380 MONTPELIER DR
Practice Address - Street 2:STE 300
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1620
Practice Address - Country:US
Practice Address - Phone:408-272-3706
Practice Address - Fax:408-254-4094
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT13880152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist