MEDICARE: DR. JENNY 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	886	NV

General Provider Information

NPI Number	:	1366997579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNY TRAN O.D.

Provider Business Mailing Address
First Line	:	8153 CALPENA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6667
Country	:	US
Telephone Number	:	213-247-0261
Fax Number	:

Provider Business Practice Location Address
First Line	:	6880 S BUFFALO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2384
Country	:	US
Telephone Number	:	213-247-0261
Fax Number	:

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

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	06/07/2025

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Directions to “ DR. JENNY TRAN O.D.” Practice Location

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