Provider Demographics
NPI:1063870574
Name:TRAN, DON QUANG (OD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:QUANG
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15061 SPRINGDALE ST
Mailing Address - Street 2:103
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1163
Mailing Address - Country:US
Mailing Address - Phone:714-898-3464
Mailing Address - Fax:
Practice Address - Street 1:15061 SPRINGDALE ST
Practice Address - Street 2:103
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1163
Practice Address - Country:US
Practice Address - Phone:714-898-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT33340152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist