Provider Demographics
NPI:1447538285
Name:MAI, THUYTIEN TRAN (OD)
Entity type:Individual
Prefix:DR
First Name:THUYTIEN
Middle Name:TRAN
Last Name:MAI
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:9770 S MARYLAND PKWY STE 10
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7143
Mailing Address - Country:US
Mailing Address - Phone:702-492-0719
Mailing Address - Fax:702-492-0095
Practice Address - Street 1:9770 S MARYLAND PKWY STE 10
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183
Practice Address - Country:US
Practice Address - Phone:702-492-0719
Practice Address - Fax:702-492-0095
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2018-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV947152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist