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NPI Code Detail

MEDICARE: THUONG NGUYEN OD

MEDICARE:   THUONG  NGUYEN  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist6147FL

General Provider Information

NPI Number : 1528795929
Entity Type Code : Individual
Provider Name (Legal Business Name) : THUONG NGUYEN OD
Provider Business Mailing Address
First Line : 105 NE 20TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-2856
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6891 DANIELS PKWY STE 140
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-1503
Country : US
Telephone Number : 239-243-8892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/04/2022

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Directions to “ THUONG NGUYEN OD” Practice Location

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