MEDICARE: REGINA ANH XUAN 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	8181T	TX

General Provider Information

NPI Number	:	1659713600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA ANH XUAN NGUYEN O.D.

Provider Business Mailing Address
First Line	:	2602 ELDRIDGE PKWY STE L
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-6891
Country	:	US
Telephone Number	:	281-558-1832
Fax Number	:	281-558-5877

Provider Business Practice Location Address
First Line	:	2602 ELDRIDGE PKWY STE L
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-6891
Country	:	US
Telephone Number	:	281-558-1832
Fax Number	:

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

Provider Enumeration Date	:	07/18/2013
Last Update Date	:	01/28/2026

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