MEDICARE: DR. KATHERINE KIM NGUYEN TRAN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	7189TG	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	TXB116046	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043535289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE KIM NGUYEN TRAN OD

Provider Business Mailing Address
First Line	:	736 HIGHWAY 6 STE 101
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5103
Country	:	US
Telephone Number	:	281-240-0478
Fax Number	:	866-939-1532

Provider Business Practice Location Address
First Line	:	736 HIGHWAY 6 STE 101
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5103
Country	:	US
Telephone Number	:	281-240-0478
Fax Number	:	866-939-1532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	01/14/2026

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Directions to “ DR. KATHERINE KIM NGUYEN TRAN OD” Practice Location

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