MEDICARE: LORI TRAN, OD 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	7497TG	TX

General Provider Information

NPI Number	:	1184935785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORI TRAN, OD PLLC

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

Provider Enumeration Date	:	06/29/2010
Last Update Date	:	01/25/2012

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