Provider Demographics
NPI:1851523989
Name:NGUYEN, HONG VIET (OD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:VIET
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 1:141 TUCKAHOE RD
Mailing Address - Street 2:SUITE 460
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3844
Mailing Address - Country:US
Mailing Address - Phone:856-237-1336
Mailing Address - Fax:
Practice Address - Street 1:141 TUCKAHOE RD
Practice Address - Street 2:SUITE 460
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3844
Practice Address - Country:US
Practice Address - Phone:856-237-1336
Practice Address - Fax:856-237-1341
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002247152W00000X
NJ27OA00620200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist