Provider Demographics
NPI:1407008121
Name:TROY H. NGUYEN O.D., P.A.
Entity Type:Organization
Organization Name:TROY H. NGUYEN O.D., P.A.
Other - Org Name:DR. TROY H. NGUYEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-283-6842
Mailing Address - Street 1:3431 ASHTON DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7595
Mailing Address - Country:US
Mailing Address - Phone:330-283-6842
Mailing Address - Fax:
Practice Address - Street 1:3431 ASHTON DR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7595
Practice Address - Country:US
Practice Address - Phone:330-283-6842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-13
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0075813Medicaid