Provider Demographics
NPI:1477782001
Name:TRAN, TOAN A (OD)
Entity Type:Individual
Prefix:DR
First Name:TOAN
Middle Name:A
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Practice Address - Street 1:1800 W CHESTNUT ST
Practice Address - Street 2:SUITE 101-A
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:972-365-7029
Practice Address - Fax:940-369-7403
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7387TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist