MEDICARE: HT OPTOMETRY PLLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1760976567	OTHER	TX	OPTOMETRIST

General Provider Information

NPI Number	:	1043867526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HT OPTOMETRY PLLC

Provider Business Mailing Address
First Line	:	618 WHITE SWAN DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-3341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 ELM ST STE LL20
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75270-2029
Country	:	US
Telephone Number	:	214-651-1000
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. HUY HUU TRAN
Credential	:	OD
Telephone Number	:	682-554-7086

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	08/20/2019

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