Provider Demographics
NPI:1417275207
Name:DR. TOAN A TRAN AND ASSOCIATES CORP
Entity Type:Organization
Organization Name:DR. TOAN A TRAN AND ASSOCIATES CORP
Other - Org Name:COLLEGE OPTICAL EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPEUTIC OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TOAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:940-369-7441
Mailing Address - Street 1:4308 KESTREL WAY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4683
Mailing Address - Country:US
Mailing Address - Phone:972-365-7029
Mailing Address - Fax:940-369-7403
Practice Address - Street 1:1800 W CHESTNUT ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-369-7441
Practice Address - Fax:940-369-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7387TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty