Provider Demographics
NPI:1285652032
Name:TRAN, STANLEY TUAN (OD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:TUAN
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 COIT RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5959
Mailing Address - Country:US
Mailing Address - Phone:972-985-1412
Mailing Address - Fax:972-964-5758
Practice Address - Street 1:5900 COIT RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5959
Practice Address - Country:US
Practice Address - Phone:972-985-1412
Practice Address - Fax:972-964-5758
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6626TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1711996Medicaid
TX1711996Medicaid
TX5181590001Medicare NSC
TX8C7174Medicare PIN