Provider Demographics
NPI:1659381671
Name:STEVEN TRAN, O.D., P.A.
Entity Type:Organization
Organization Name:STEVEN TRAN, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O.D./PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-328-4405
Mailing Address - Street 1:200 WATER OAK DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4066
Mailing Address - Country:US
Mailing Address - Phone:512-328-4405
Mailing Address - Fax:512-835-7413
Practice Address - Street 1:9616 N LAMAR BLVD STE 159
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-4150
Practice Address - Country:US
Practice Address - Phone:512-328-4405
Practice Address - Fax:512-835-7413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6266TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3119596-01Medicaid