MEDICARE: DR. UT MICHAEL KHAI 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	OEG001156	PA

General Provider Information

NPI Number	:	1568438786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UT MICHAEL KHAI TRAN O.D.

Provider Business Mailing Address
First Line	:	508 ELLEN RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-2018
Country	:	US
Telephone Number	:	717-731-1677
Fax Number	:	717-761-3681

Provider Business Practice Location Address
First Line	:	3401 HARTZDALE DR
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7200
Country	:	US
Telephone Number	:	717-975-0501
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	03/10/2026

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