MEDICARE: ROBERT THUAN NGUYEN, OD, PA

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	:	1619165479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT THUAN NGUYEN, OD, PA

Provider Business Mailing Address
First Line	:	7312 LOUETTA RD
Second Line	:	SUITE B116
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 B116
City	:	SPRING
State	:	TX
Zip	:	77379-6175
Country	:	US
Telephone Number	:	832-717-0900
Fax Number	:	832-717-0908

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. ROBERT NGUYEN
Credential	:	O.D.
Telephone Number	:	832-717-0900

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	06/28/2013

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