Provider Demographics
NPI:1871302828
Name:DR. AUSTIN TRAN, O.D., OPTOMETRIC CORP.
Entity type:Organization
Organization Name:DR. AUSTIN TRAN, O.D., OPTOMETRIC CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-739-0706
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:512-739-0706
Mailing Address - Fax:
Practice Address - Street 1:9710 WINTER GARDENS BLVD STE LAKESIDE
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:CA
Practice Address - Zip Code:92040-3867
Practice Address - Country:US
Practice Address - Phone:619-443-1075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty