Provider Demographics
NPI:1407191869
Name:TRAN, MAJHER AND SHAW, O.D., P.A.
Entity Type:Organization
Organization Name:TRAN, MAJHER AND SHAW, O.D., P.A.
Other - Org Name:TMS EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:316-686-6063
Mailing Address - Street 1:2251 N WOODLAWN BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3947
Mailing Address - Country:US
Mailing Address - Phone:316-686-6063
Mailing Address - Fax:316-686-4214
Practice Address - Street 1:2312 W PAWNEE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213-2888
Practice Address - Country:US
Practice Address - Phone:316-686-6063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRAN, MAJHER AND SHAW, O.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1540152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty