MEDICARE: MRS. LORI LUOM TRAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	7497TG	TX

General Provider Information

NPI Number	:	1497087498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI LUOM TRAN O.D.

Provider Business Mailing Address
First Line	:	6000 COIT RD
Second Line	:	STE 100
City	:	PLANO
State	:	TX
Zip	:	75023-5903
Country	:	US
Telephone Number	:	469-241-9272
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 COIT RD
Second Line	:	STE 100
City	:	PLANO
State	:	TX
Zip	:	75023-5903
Country	:	US
Telephone Number	:	469-241-9272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2010
Last Update Date	:	04/27/2020

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