Provider Demographics
NPI:1427184555
Name:TRAN, HAI MOC (OD)
Entity Type:Individual
Prefix:DR
First Name:HAI
Middle Name:MOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:623 CHERVIL VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-2003
Mailing Address - Country:US
Mailing Address - Phone:702-795-8880
Mailing Address - Fax:702-451-8887
Practice Address - Street 1:3200 LAS VEGAS BLVD S
Practice Address - Street 2:STE#1690
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2612
Practice Address - Country:US
Practice Address - Phone:702-795-8880
Practice Address - Fax:702-451-8887
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV0386152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U82095Medicare UPIN