Provider Demographics
NPI:1912346362
Name:TRAN, THIEN-KY OLIVER (OD)
Entity Type:Individual
Prefix:DR
First Name:THIEN-KY
Middle Name:OLIVER
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:T.K.
Other - Middle Name:OLIVER
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:8611 HILLCREST AVE
Mailing Address - Street 2:STE. 140
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-4207
Mailing Address - Country:US
Mailing Address - Phone:214-739-8611
Mailing Address - Fax:214-739-8612
Practice Address - Street 1:8611 HILLCREST AVE
Practice Address - Street 2:STE. 140
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-4207
Practice Address - Country:US
Practice Address - Phone:214-739-8611
Practice Address - Fax:214-739-8612
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8156T152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management