Provider Demographics
NPI:1467010827
Name:NGUYEN-TRAN, THANHAN ANDY (OD, FAAO)
Entity Type:Individual
Prefix:
First Name:THANHAN
Middle Name:ANDY
Last Name:NGUYEN-TRAN
Suffix:
Gender:M
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 SOLANO AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1650
Mailing Address - Country:US
Mailing Address - Phone:510-526-3937
Mailing Address - Fax:
Practice Address - Street 1:1051 SOLANO AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1650
Practice Address - Country:US
Practice Address - Phone:510-526-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011315152W00000X
CA35131152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist