Provider Demographics
NPI:1518230549
Name:ANNY NGUYEN OD PLLC
Entity Type:Organization
Organization Name:ANNY NGUYEN OD PLLC
Other - Org Name:WOODBRIDGE EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:469-585-4398
Mailing Address - Street 1:3460 W FM 544
Mailing Address - Street 2:SUITE 550
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-9408
Mailing Address - Country:US
Mailing Address - Phone:972-429-3501
Mailing Address - Fax:972-442-4916
Practice Address - Street 1:3460 W FM 544
Practice Address - Street 2:SUITE 550
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-9408
Practice Address - Country:US
Practice Address - Phone:972-429-3501
Practice Address - Fax:972-442-4916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7727TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty