Provider Demographics
NPI:1891924817
Name:TRAN, HIEU TRUNG (OD)
Entity Type:Individual
Prefix:DR
First Name:HIEU
Middle Name:TRUNG
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 1:159 EXPRESS ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2404
Mailing Address - Country:US
Mailing Address - Phone:516-827-6727
Mailing Address - Fax:800-350-1516
Practice Address - Street 1:1663 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3121
Practice Address - Country:US
Practice Address - Phone:585-424-7000
Practice Address - Fax:585-424-2643
Is Sole Proprietor?:No
Enumeration Date:2009-07-12
Last Update Date:2009-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist