Provider Demographics
NPI:1588847057
Name:TRANSVISION, PC
Entity Type:Organization
Organization Name:TRANSVISION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMERTRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN-NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:361-573-4884
Mailing Address - Street 1:8306 N NAVARRO ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-2600
Mailing Address - Country:US
Mailing Address - Phone:361-573-4884
Mailing Address - Fax:361-570-0077
Practice Address - Street 1:8306 N NAVARRO ST
Practice Address - Street 2:SUITE B
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2600
Practice Address - Country:US
Practice Address - Phone:361-573-4884
Practice Address - Fax:361-570-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4885T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019390601Medicaid
TX00E52WMedicare PIN