Healthcare Provider Details

I. General information

NPI: 1932881968
Provider Name (Legal Business Name): THUYMI NGUYEN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14917 LYONS RD STE 108
DELRAY BEACH FL
33446-9012
US

IV. Provider business mailing address

8614 WESTWOOD CENTER DR FL 9
VIENNA VA
22182-2442
US

V. Phone/Fax

Practice location:
  • Phone: 561-501-5346
  • Fax: 561-501-5436
Mailing address:
  • Phone: 703-847-8899
  • Fax: 571-223-6780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: