Individual
ALICE P NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10774
CA
152W00000X
Optometrist
5096T
TX
152W00000X
Optometrist
Primary
60063073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067FC
BLUE CROSS/ BLUE SHIELDS
TX
Enumeration date
07/23/2007
Last updated
12/22/2009
Update your record
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