Provider Demographics
NPI:1669495164
Name:TRAN, CINDY H (OD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:H
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 1:3161 MOUNT OSO DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148
Mailing Address - Country:US
Mailing Address - Phone:408-893-3386
Mailing Address - Fax:
Practice Address - Street 1:596 E EL CAMINO REAL # 2
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1940
Practice Address - Country:US
Practice Address - Phone:408-245-6212
Practice Address - Fax:408-245-6233
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA11760T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U88483Medicare UPIN
CASD0117600Medicare ID - Type Unspecified