Provider Demographics
NPI:1952626236
Name:NGUYEN, VI YEN (OD)
Entity Type:Individual
Prefix:DR
First Name:VI
Middle Name:YEN
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 1:27110 CINCO RANCH BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2686
Mailing Address - Country:US
Mailing Address - Phone:281-394-5222
Mailing Address - Fax:281-394-5232
Practice Address - Street 1:27110 CINCO RANCH BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2686
Practice Address - Country:US
Practice Address - Phone:281-394-5222
Practice Address - Fax:281-394-5232
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7415 TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB152618Medicare PIN