Physician Compare National (NPI:1477967347)

HEALTHCARE PROVIDER: VAN KIM 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	1477967347
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850510579
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140911001052
	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	VAN
	Individual professional first name
Provider Middle Name	KIM
	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	2014
	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	805 WALKER ST
	Group Practice or individual's line 1 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770025715
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y