Provider Demographics
NPI:1669506887
Name:TRAN EYE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:TRAN EYE ASSOCIATES, PLLC
Other - Org Name:CUSTOMEYES VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER AND CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:469-272-3937
Mailing Address - Street 1:950 E BELT LINE RD
Mailing Address - Street 2:STE 190
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2422
Mailing Address - Country:US
Mailing Address - Phone:469-272-3937
Mailing Address - Fax:469-272-3940
Practice Address - Street 1:950 E. BELT LINE RD
Practice Address - Street 2:SUITE 190
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2215
Practice Address - Country:US
Practice Address - Phone:469-272-3937
Practice Address - Fax:469-272-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6264TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty