Physician Compare National (NPI:1215964358)

HEALTHCARE PROVIDER: MONICA QUYNH NGUYEN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1215964358
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779652755
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080516000179
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NGUYEN
	Individual professional last name
Provider First Name	MONICA
	Individual professional first name
Provider Middle Name	Q
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2665 MARKET CTR DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	ROCKWALL
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750326563
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y