Provider Demographics
NPI:1083715395
Name:NGUYEN, NGHIA THI (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:NGHIA
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 COLUMBIA PIKE STE C2
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2900
Mailing Address - Country:US
Mailing Address - Phone:703-671-1300
Mailing Address - Fax:703-894-1222
Practice Address - Street 1:5701 COLUMBIA PIKE STE C2
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2900
Practice Address - Country:US
Practice Address - Phone:703-671-1300
Practice Address - Fax:703-894-1222
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA894156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician