Provider Demographics
NPI:1558741355
Name:NGO, TRANG (OD)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:
Last Name:NGO
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 1:7319 S RAINBOW BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-0434
Mailing Address - Country:US
Mailing Address - Phone:702-478-2020
Mailing Address - Fax:702-478-1500
Practice Address - Street 1:7319 S RAINBOW BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-0434
Practice Address - Country:US
Practice Address - Phone:702-478-2020
Practice Address - Fax:702-478-1500
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-05
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1096152W00000X
OR4067152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist