Provider Demographics
NPI:1881262996
Name:TRAN, AUSTIN (OD)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:TRAN
Suffix:
Gender:
Credentials:OD
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Mailing Address - Street 1:13322 RAMONA DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-2643
Mailing Address - Country:US
Mailing Address - Phone:619-443-1075
Mailing Address - Fax:619-443-9382
Practice Address - Street 1:9710 WINTER GARDENS BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:CA
Practice Address - Zip Code:92040-3866
Practice Address - Country:US
Practice Address - Phone:619-443-1075
Practice Address - Fax:619-443-9382
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA34881152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist