Provider Demographics
NPI:1518381045
Name:TA-HOPKINS, DOAN-TRANG (OD)
Entity Type:Individual
Prefix:DR
First Name:DOAN-TRANG
Middle Name:
Last Name:TA-HOPKINS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:TRANG
Other - Middle Name:
Other - Last Name:TA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1085 VEGA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-2820
Mailing Address - Country:US
Mailing Address - Phone:206-931-1151
Mailing Address - Fax:
Practice Address - Street 1:1085 VEGA WAY
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2820
Practice Address - Country:US
Practice Address - Phone:206-931-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12100T152W00000X
WAOD3514152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist