Provider Demographics
NPI:1437711629
Name:TRAN, JOEY PHI (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEY
Middle Name:PHI
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2980 DAVIDWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2622
Mailing Address - Country:US
Mailing Address - Phone:408-826-9868
Mailing Address - Fax:
Practice Address - Street 1:2794 EL CAMINO REAL STE 100
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-3061
Practice Address - Country:US
Practice Address - Phone:408-248-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34347TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist