Provider Demographics
NPI:1497345375
Name:DR GOTTLIEB DR TRAN OPTOMETRISTS INC
Entity Type:Organization
Organization Name:DR GOTTLIEB DR TRAN OPTOMETRISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-898-3464
Mailing Address - Street 1:15061 SPRINGDALE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1164
Mailing Address - Country:US
Mailing Address - Phone:714-898-3464
Mailing Address - Fax:714-895-7807
Practice Address - Street 1:15061 SPRINGDALE ST STE 103
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1164
Practice Address - Country:US
Practice Address - Phone:714-898-3464
Practice Address - Fax:714-895-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty