MEDICARE: DR. ANN NGUYEN HAN 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	6757TG	TX

General Provider Information

NPI Number	:	1902929755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN NGUYEN HAN O.D.

Provider Business Mailing Address
First Line	:	5425 PETTY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-1807
Country	:	US
Telephone Number	:	713-861-4419
Fax Number	:

Provider Business Practice Location Address
First Line	:	6860 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1342
Country	:	US
Telephone Number	:	281-500-9612
Fax Number	:

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	01/12/2016

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