MEDICARE: TRANS-VISION, PC

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

General Provider Information

NPI Number	:	1063983260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANS-VISION, PC

Provider Business Mailing Address
First Line	:	8826 S EASTERN AVE STE 112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4826
Country	:	US
Telephone Number	:	702-942-6301
Fax Number	:

Provider Business Practice Location Address
First Line	:	8826 S EASTERN AVE STE 112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4826
Country	:	US
Telephone Number	:	702-942-6301
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VAN TRAN
Credential	:	OD
Telephone Number	:	702-942-6301

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

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Directions to “TRANS-VISION, PC ” Practice Location

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