Provider Demographics
NPI:1285023135
Name:NGOC H. TRAN, OPTOMETRIST, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:NGOC H. TRAN, OPTOMETRIST, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NGOC
Authorized Official - Middle Name:H
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:562-496-2020
Mailing Address - Street 1:4130 N VIKING WAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1402
Mailing Address - Country:US
Mailing Address - Phone:562-496-2020
Mailing Address - Fax:562-982-9100
Practice Address - Street 1:4130 N VIKING WAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1402
Practice Address - Country:US
Practice Address - Phone:562-496-2020
Practice Address - Fax:562-982-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty