Provider Demographics
NPI:1598233512
Name:LARA NGUYEN OD PLLC
Entity Type:Organization
Organization Name:LARA NGUYEN OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-217-6690
Mailing Address - Street 1:225 CYPRESSWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-6160
Mailing Address - Country:US
Mailing Address - Phone:281-288-4227
Mailing Address - Fax:713-389-5144
Practice Address - Street 1:225 CYPRESSWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-6160
Practice Address - Country:US
Practice Address - Phone:281-288-4227
Practice Address - Fax:713-389-5144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty