Provider Demographics
NPI:1013205491
Name:NGUYEN, KHOI-NGUYEN DINH (OD)
Entity Type:Individual
Prefix:DR
First Name:KHOI-NGUYEN
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 CREEKFORD CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3966
Mailing Address - Country:US
Mailing Address - Phone:617-921-3378
Mailing Address - Fax:
Practice Address - Street 1:6702 SEAWALL BLVD STE A
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-9001
Practice Address - Country:US
Practice Address - Phone:409-744-4600
Practice Address - Fax:409-744-4601
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7747TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist