Provider Demographics
NPI:1154477164
Name:TRAN, WENDY U (OD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:U
Last Name:TRAN
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Gender:F
Credentials:OD
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Mailing Address - Street 1:22972 MOULTON PKWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1219
Mailing Address - Country:US
Mailing Address - Phone:949-581-8222
Mailing Address - Fax:949-581-8223
Practice Address - Street 1:22972 MOULTON PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1219
Practice Address - Country:US
Practice Address - Phone:949-581-8222
Practice Address - Fax:949-581-8223
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CACA 9823152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist