MEDICARE: KHOA DANG 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	OD850	HI

General Provider Information

NPI Number	:	1447502786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHOA DANG NGUYEN OD

Provider Business Mailing Address
First Line	:	PO BOX 383147
Second Line	:
City	:	WAIKOLOA
State	:	HI
Zip	:	96738-3147
Country	:	US
Telephone Number	:	808-883-3767
Fax Number	:	808-319-2510

Provider Business Practice Location Address
First Line	:	68-1845 WAIKOLOA RD STE 218
Second Line	:
City	:	WAIKOLOA
State	:	HI
Zip	:	96738-5584
Country	:	US
Telephone Number	:	808-883-3767
Fax Number	:	808-319-2510

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

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	01/07/2019

Similar Medicare Providers

1811199417 — SUSANNAH KERR MISTR MD
Practice Location Address:

68-1845 WAIKOLOA RD , SUITE 218
WAIKOLOA, HI
96738-5584

Practice Phone: 808-883-3767
Practice Fax:

1154509578 — DR. SHANON LEE SIDELL N.D., LAC, LMT
Practice Location Address:

68-1845 WAIKOLOA RD , SUITE #201
WAIKOLOA, HI
96738-5584

Practice Phone: 808-960-8333
Practice Fax: 877-992-6761

1174756662 — ALOHA PAIN CLINIC, LLC
Practice Location Address:

68-1845 WAIKOLOA RD STE 216
WAIKOLOA, HI
96738-5584

Practice Phone: 808-885-7246
Practice Fax:

1457679326 — MRS. ERICA GIAO DAVIS
Practice Location Address:

68-1845 WAIKOLOA RD , UNIT 201 B
WAIKOLOA, HI
96738-5584

Practice Phone: 808-443-4770
Practice Fax:

1780992503 — HAWAII DENTAL GROUP, INC.
Practice Location Address:

68-1845 WAIKOLOA RD , SUITE 205
WAIKOLOA, HI
96738-5584

Practice Phone: 808-883-9100
Practice Fax: 808-883-1469

1386907376 — MR. CARL D LANGAN LMT
Practice Location Address:

68-1845 WAIKOLOA RD , SUITE 106, PMB 201
WAIKOLOA, HI
96738-5584

Practice Phone: 808-960-8333
Practice Fax:

Directions to “ KHOA DANG 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.