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General NPI Number Information
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NPI Number | 1316623747
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Entity Type | Individual
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Provider Name | CAROLYN TRAN OD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 2645 MANHATTAN BLVD STE E2B
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City | HARVEY
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State | LA
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Zip | 70058-3375
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Country | US
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Telephone | 504-309-8619
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Fax |
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Provider Business Mailing Address
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Address Line | 545 S JAMIE BLVD
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City | AVONDALE
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State | LA
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Zip | 70094-2909
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Country | US
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Telephone | 504-575-1877
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2000-946AT
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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