# DR. ELLEN M NGUYEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366754996
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 046.010392 | IL | — |
| 152W00000X | Optometrist | 1606638AT | LA | Yes |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 06/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 046010392 | — | IL |
| 05 | — | 2177401 | — | LA |