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NPI Code Detail

MEDICARE: DR. NANCY NGHE O.D.

MEDICARE:  DR. NANCY  NGHE  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
1152W00000XOptometristODTG00621RI
2152W00000XOptometristCODTG00621RI
3152W00000XOptometristTUV008451NY
4152W00000XOptometrist5139MA
5152W00000XOptometrist9880TGTX

General Provider Information

NPI Number : 1609259027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY NGHE O.D.
Provider Business Mailing Address
First Line : 16 COURT ST
Second Line : SUITE 801
City : BROOKLYN
State : NY
Zip : 11241-0102
Country : US
Telephone Number : 718-852-6070
Fax Number : 718-855-2420
Provider Business Practice Location Address
First Line : 402 SAWDUST RD
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2243
Country : US
Telephone Number : 281-363-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 03/05/2020

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