Individual
VINH PHUC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD60724663
Contact information
Practice address
762 OUTLET COLLECTION DR SW, AUBURN, WA 98001-6582
(253) 804-3264
(253) 804-1065
Mailing address
1019 PIERCE CT NE, RENTON, WA 98056-3536
(206) 412-5830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60724663
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079522
—
WA
Enumeration date
02/12/2017
Last updated
02/09/2021
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