Tran, Thomas Van
Tran, Thomas Van is an individual health care provider with primary practice located at 350 Robert Smalls Pkwy , Beaufort SC 29906-4284. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tran, Thomas Van can be contacted via phone (843) 522-9755.Contact Information
Primary practice address
350 Robert Smalls Pkwy
Beaufort SC 29906-4284
Phone: (843) 522-9755
Fax: (843) 521-3085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1239 | South Carolina |
Profile Details
| NPI number | 1871664904 |
|---|---|
| LBN Legal business name | Tran, Thomas Van |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871664904 | NPPES |
| South Carolina | Other | DA9742 | MEDICAID GROUP # |
| South Carolina | MEDICAID | D12396 | MEDICAID GROUP # |
| South Carolina | Other | 7679 | MEDICAID GROUP # |
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