Provider Demographics
NPI:1841785326
Name:NGUYEN, NHI T (OD)
Entity Type:Individual
Prefix:DR
First Name:NHI
Middle Name:T
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 1:3300 E PALM DR
Mailing Address - Street 2:APT 432
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-1736
Mailing Address - Country:US
Mailing Address - Phone:714-487-8587
Mailing Address - Fax:
Practice Address - Street 1:2620 TUSCANY ST STE 103
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-4646
Practice Address - Country:US
Practice Address - Phone:951-372-9623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33954152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist