Provider Demographics
NPI:1558617498
Name:TRAN, HOA HUE NU (OD)
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:HUE NU
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5173 S LAREDO WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4151
Mailing Address - Country:US
Mailing Address - Phone:405-413-9599
Mailing Address - Fax:
Practice Address - Street 1:14200 E ELLSWORTH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1402
Practice Address - Country:US
Practice Address - Phone:303-214-0117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004874152W00000X
COOPT.0003273152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOC97655096Medicare PIN
MI0733500000Medicare PIN