Individual
DR. NGUYEN WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1160 VARNUM ST NE STE 11, WASHINGTON, DC 20017-2110
(202) 529-5200
Mailing address
2002 MEDICAL PKWY STE 320, ANNAPOLIS, MD 21401-7901
(410) 571-8733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6520T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619
STATE LICENSE
SC
01
—
6520TG
TEXAS OPTOMETRY BOARD
TX
Enumeration date
07/04/2006
Last updated
03/12/2024
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