Provider Demographics
NPI:1013560333
Name:NGUYEN, NHI THI TUYET (OD)
Entity Type:Individual
Prefix:
First Name:NHI
Middle Name:THI TUYET
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 N MERIDIAN STREET
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1303
Mailing Address - Country:US
Mailing Address - Phone:317-925-2200
Mailing Address - Fax:317-921-0886
Practice Address - Street 1:1901 N MERIDIAN STREET
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1303
Practice Address - Country:US
Practice Address - Phone:317-925-2200
Practice Address - Fax:317-921-0886
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004169A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist