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Individual
DR. THY A NGUYEN
Active
Individual
DR. THY A NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36002
BLUE CROSS
FL
05
—
620580100
—
FL
01
—
OPC3567
OD LICENSE
FL
01
—
P01541812
RAIL ROAD MEDICARE
FL
Enumeration date
10/02/2006
Last updated
12/08/2015
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