MEDICARE: ELISE NGUYEN 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	OEG004376	PA

General Provider Information

NPI Number	:	1164355640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISE NGUYEN OD

Provider Business Mailing Address
First Line	:	801 VASSAR DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-2725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 VASSAR DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-2725
Country	:	US
Telephone Number	:	505-248-4000
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/09/2026

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1750384673 — DR. ELIZABETH D PEREA PHARM D., PHC
Practice Location Address:

801 VASSAR DR NE
ALBUQUERQUE, NM
87106-2725

Practice Phone: 505-248-7731
Practice Fax: 505-248-7642

1558367888 — DR. SCOTT T SUNDE M.D.
Practice Location Address:

801 VASSAR DRIVE NE
ALBUQUERQUE, NM
87106-2725

Practice Phone: 505-248-4052
Practice Fax:

1174510028 — LANI MARIE DESAULNIERS MD
Practice Location Address:

801 VASSAR DR NE
ALBUQUERQUE, NM
87106-2725

Practice Phone: 505-248-4017
Practice Fax: 505-248-7697

1235120908 — DR. THOMAS FABER MD
Practice Location Address:

801 VASSAR DR NE
ALBUQUERQUE, NM
87106-2725

Practice Phone: 505-248-7687
Practice Fax:

1457338170 — DR. JAMES DALE MURRAY OD
Practice Location Address:

801 VASSAR DR NE
ALBUQUERQUE, NM
87106-2725

Practice Phone: 505-248-4003
Practice Fax: 505-248-7721

Directions to “ ELISE NGUYEN OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.