Organization
KJJ VISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE HA NGUYEN OD (OWNER)
(832) 276-3601
Entity
Organization
Contact information
Practice address
1816 BROADWAY ST STE 106, PEARLAND, TX 77581
(281) 992-3937
Mailing address
1816 BROADWAY ST STE 106, PEARLAND, TX 77581-5666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019126401
—
TX
01
—
TX5483
EYEMED
TX
Enumeration date
04/06/2018
Last updated
05/22/2018
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