Kimly Thi Tran, OD | |
3325 Palo Verde Ave, Ste #103, Long Beach, CA 90808-4132 | |
(562) 421-2757 | |
(562) 420-7267 |
Full Name | Kimly Thi Tran |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 3325 Palo Verde Ave, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093829921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12970T (California) | Primary |
Provider Name | I See Optometry |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205326030 PECOS PAC ID: 6800268764 Enrollment ID: O20230202002664 |
Mailing Address | Practice Location Address |
---|---|
Kimly Thi Tran, OD 11431 Stonecress Ave, Fountain Valley, CA 92708-2452 Ph: (714) 902-8390 | Kimly Thi Tran, OD 3325 Palo Verde Ave, Ste #103, Long Beach, CA 90808-4132 Ph: (562) 421-2757 |
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