Provider Demographics
NPI:1689128795
Name:TRAN, VINH (OD)
Entity Type:Individual
Prefix:DR
First Name:VINH
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 IVY LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2580
Mailing Address - Country:US
Mailing Address - Phone:508-446-2981
Mailing Address - Fax:
Practice Address - Street 1:166 CASS AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-4712
Practice Address - Country:US
Practice Address - Phone:401-769-2511
Practice Address - Fax:401-769-7696
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00634152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIU400332409Medicare PIN