Provider Demographics
NPI:1235563115
Name:HAI M. TRAN, O.D., LTD
Entity Type:Organization
Organization Name:HAI M. TRAN, O.D., LTD
Other - Org Name:FASHION EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAI
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-203-9017
Mailing Address - Street 1:2000 N FASHION SHOW DR
Mailing Address - Street 2:UNIT #2303
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1936
Mailing Address - Country:US
Mailing Address - Phone:702-203-9017
Mailing Address - Fax:702-451-8887
Practice Address - Street 1:3200 LAS VEGAS BLVD S
Practice Address - Street 2:SUITE #1670
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2612
Practice Address - Country:US
Practice Address - Phone:702-795-8880
Practice Address - Fax:702-451-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0386152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty