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NPI Code Detail

MEDICARE: STEVE N. NGUYEN, O.D,, P.C.

MEDICARE: STEVE N. NGUYEN, O.D,, P.C.
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
1152W00000XOptometrist5438TGTX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20A5439OTHERTXMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992760490
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVE N. NGUYEN, O.D,, P.C.
Provider Business Mailing Address
First Line : 2811 S HAMPTON RD
Second Line : SUITE B
City : DALLAS
State : TX
Zip : 75224-2329
Country : US
Telephone Number : 214-333-2020
Fax Number : 214-333-7316
Provider Business Practice Location Address
First Line : 2811 S HAMPTON RD
Second Line : SUITE B
City : DALLAS
State : TX
Zip : 75224-2329
Country : US
Telephone Number : 214-333-2020
Fax Number : 214-333-7316
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVE N. NGUYEN
Credential : O.D.
Telephone Number : 214-333-2020
Provider Enumeration Date : 04/18/2006
Last Update Date : 10/29/2019

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