Provider Demographics
NPI:1598858904
Name:POTTS, LINDA TRAN (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:TRAN
Last Name:POTTS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:THI
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:10329 ROSSER RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-6146
Mailing Address - Country:US
Mailing Address - Phone:214-714-1874
Mailing Address - Fax:
Practice Address - Street 1:10329 ROSSER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-6146
Practice Address - Country:US
Practice Address - Phone:214-714-1874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6961TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist