MEDICARE: LINDA 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	6829	TX

General Provider Information

NPI Number	:	1417907403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA NGUYEN O.D.

Provider Business Mailing Address
First Line	:	923 MCKINNEY PARK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-3642
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11101 FUQUA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2508
Country	:	US
Telephone Number	:	713-947-1000
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	09/07/2012

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Directions to “ LINDA NGUYEN O.D.” Practice Location

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