Provider Demographics
NPI:1821155300
Name:NGUYEN, HUYEN MONG (OD)
Entity Type:Individual
Prefix:
First Name:HUYEN
Middle Name:MONG
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 1:9700 S MCCARRAN BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-9203
Mailing Address - Country:US
Mailing Address - Phone:775-827-3937
Mailing Address - Fax:775-746-5316
Practice Address - Street 1:911 TOPSY LN STE 236
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89705
Practice Address - Country:US
Practice Address - Phone:775-267-9160
Practice Address - Fax:775-267-9112
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV993152W00000X
CA10148T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist