Provider Demographics
NPI:1730497066
Name:KAREN H. NGUYEN, OD, PLLC
Entity Type:Organization
Organization Name:KAREN H. NGUYEN, OD, PLLC
Other - Org Name:ADVANTAGE FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:H
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-429-5754
Mailing Address - Street 1:3440 W FM 544
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-9408
Mailing Address - Country:US
Mailing Address - Phone:972-429-5754
Mailing Address - Fax:
Practice Address - Street 1:3440 W FM 544
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-9408
Practice Address - Country:US
Practice Address - Phone:972-429-5754
Practice Address - Fax:972-429-5754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6361T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty