Healthcare Provider Details

I. General information

NPI: 1760302178
Provider Name (Legal Business Name): LILIAN NGOC-LINH NGUYEN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 S MOUNT JULIET RD
MOUNT JULIET TN
37122-6483
US

IV. Provider business mailing address

800 4TH AVE S APT 604
NASHVILLE TN
37210-2370
US

V. Phone/Fax

Practice location:
  • Phone: 615-758-2344
  • Fax: 615-758-8868
Mailing address:
  • Phone: 901-827-9147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4030
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: