Healthcare Provider Details

I. General information

NPI: 1487598140
Provider Name (Legal Business Name): BRIGHT FUTURE EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 THOMAS JOHNSON DR STE 202
FREDERICK MD
21702-4374
US

IV. Provider business mailing address

511 SAGE HEN WAY
FREDERICK MD
21703-1389
US

V. Phone/Fax

Practice location:
  • Phone: 571-309-3774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THANH M NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 571-309-3774