Khoathu Nguyen Tran, OD | |
1100 Johnson Fy Rd Ne Bldg 1, Atlanta, GA 30342-1709 | |
(404) 531-9988 | |
Not Available |
Full Name | Khoathu Nguyen Tran |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1100 Johnson Fy Rd Ne Bldg 1, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922786441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT003503 (Georgia) | Primary |
Provider Name | Eugene B. Gabianelli, Md & Assoc. Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629080155 PECOS PAC ID: 5193702512 Enrollment ID: O20040702000989 |
Mailing Address | Practice Location Address |
---|---|
Khoathu Nguyen Tran, OD 1260 Leisure Lake Dr, Lawrenceville, GA 30044-6273 Ph: (678) 896-8520 | Khoathu Nguyen Tran, OD 1100 Johnson Fy Rd Ne Bldg 1, Atlanta, GA 30342-1709 Ph: (404) 531-9988 |
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Eyedeology Vision Center & Optique Optometrist Medicare: Not Enrolled in Medicare Practice Location: 860 Peachtree St Ne, Suite F, Atlanta, GA 30308 Phone: 404-853-5008 Fax: 404-853-5009 | |
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