Provider Demographics
NPI:1104319185
Name:NGUYEN-BRINGAS, EVELYN HIEN (OD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:HIEN
Last Name:NGUYEN-BRINGAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HIEN
Other - Middle Name:ANH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:620 N 6TH ST APT 1311
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-4330
Mailing Address - Country:US
Mailing Address - Phone:408-712-5717
Mailing Address - Fax:
Practice Address - Street 1:1055 E BROKAW RD STE 50
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2318
Practice Address - Country:US
Practice Address - Phone:408-573-7388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33933TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist