Provider Demographics
NPI:1093895559
Name:NGUYEN, XUAN ANH VU (O D)
Entity Type:Individual
Prefix:DR
First Name:XUAN ANH
Middle Name:VU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8939 JEFFERSON HWY
Mailing Address - Street 2:#118
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2472
Mailing Address - Country:US
Mailing Address - Phone:713-854-0544
Mailing Address - Fax:
Practice Address - Street 1:3132 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3119
Practice Address - Country:US
Practice Address - Phone:225-935-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1330-464T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist