Provider Demographics
NPI:1437492857
Name:TRAN, JOEY DUC (OD)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:DUC
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:780 E US HIGHWAY 80
Mailing Address - Street 2:SUITE 160
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8736
Mailing Address - Country:US
Mailing Address - Phone:972-552-9681
Mailing Address - Fax:972-552-9698
Practice Address - Street 1:780 E US HIGHWAY 80
Practice Address - Street 2:SUITE 160
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8736
Practice Address - Country:US
Practice Address - Phone:972-552-9681
Practice Address - Fax:972-552-9698
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2016-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX8165152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist