Provider Demographics
NPI:1740792241
Name:BICH CHAU NGOC TRAN
Entity Type:Organization
Organization Name:BICH CHAU NGOC TRAN
Other - Org Name:BICH TRAN, O.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BICH
Authorized Official - Middle Name:C
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-812-2482
Mailing Address - Street 1:24885 BUTTERCUP DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-6024
Mailing Address - Country:US
Mailing Address - Phone:714-812-2482
Mailing Address - Fax:
Practice Address - Street 1:24953 PASEO DE VALENCIA STE 24A
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4343
Practice Address - Country:US
Practice Address - Phone:949-716-5280
Practice Address - Fax:949-716-5290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty