Provider Demographics
NPI:1659808616
Name:NGUYEN, TU UYEN HUU (OD)
Entity Type:Individual
Prefix:
First Name:TU UYEN
Middle Name:HUU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46640 VIA VAQUERO
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5108
Mailing Address - Country:US
Mailing Address - Phone:951-676-8097
Mailing Address - Fax:
Practice Address - Street 1:46640 VIA VAQUERO
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5108
Practice Address - Country:US
Practice Address - Phone:951-676-8097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT33647-TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist