MEDICARE: DR. ROBERT T 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	6459TG	TX

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	:	1427066398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT T NGUYEN O.D.

Provider Business Mailing Address
First Line	:	7312 LOUETTA RD
Second Line	:	SUITE B-116
City	:	SPRING
State	:	TX
Zip	:	77379-6175
Country	:	US
Telephone Number	:	832-717-0900
Fax Number	:	832-717-0908

Provider Business Practice Location Address
First Line	:	7312 LOUETTA RD
Second Line	:	SUITE B-116
City	:	SPRING
State	:	TX
Zip	:	77379-6175
Country	:	US
Telephone Number	:	832-717-0900
Fax Number	:	832-717-0908

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	06/28/2013

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