Provider Demographics
NPI:1326117839
Name:TRAN, TAMMY H (OD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:H
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3929 RIVERMARK PLZ
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-4156
Mailing Address - Country:US
Mailing Address - Phone:408-988-7957
Mailing Address - Fax:408-988-7967
Practice Address - Street 1:3929 RIVERMARK PLZ
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-4156
Practice Address - Country:US
Practice Address - Phone:408-988-7957
Practice Address - Fax:408-988-7967
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11590T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV06351Medicare UPIN