Provider Demographics
NPI:1023212651
Name:NGUYEN, SHERI MAI (OD)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:MAI
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 1:13689 EASTBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-2990
Mailing Address - Country:US
Mailing Address - Phone:714-899-5885
Mailing Address - Fax:
Practice Address - Street 1:13689 EASTBRIDGE ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-2990
Practice Address - Country:US
Practice Address - Phone:714-899-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11313T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management