Individual
ALICE P NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1701 S COMMONS, FEDERAL WAY, WA 98003-6037
(253) 941-4980
Mailing address
1215 DEXTER AVE N APT 835, SEATTLE, WA 98109-3575
(832) 260-6468
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
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