MEDICARE: DR. JENNIFER DINH NGUYEN O.D.

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	7639TG	TX

General Provider Information

NPI Number	:	1164723458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER DINH NGUYEN O.D.

Provider Business Mailing Address
First Line	:	22321 GOSLING RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-4409
Country	:	US
Telephone Number	:	281-251-1120
Fax Number	:	281-251-1130

Provider Business Practice Location Address
First Line	:	22321 GOSLING RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-4409
Country	:	US
Telephone Number	:	281-251-1120
Fax Number	:	281-251-1130

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

Provider Enumeration Date	:	11/03/2010
Last Update Date	:	11/07/2025

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