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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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.

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Identifiers

StateTypeNumberIssuer
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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