Individual
DR. KHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 E MAIN ST, WESTBOROUGH, MA 01581-1408
(508) 366-4500
Mailing address
1 E MAIN ST, WESTBOROUGH, MA 01581-1408
(508) 366-4500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
MA4355
MA
152WC0802X
Corneal and Contact Management Optometrist
Primary
MA4355
MA
152WL0500X
Low Vision Rehabilitation Optometrist
MA4355
MA
152WP0200X
Pediatric Optometrist
MA4355
MA
152WS0006X
Sports Vision Optometrist
MA4355
MA
152WV0400X
Vision Therapy Optometrist
MA4355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399990
—
MA
01
—
MA4355
STATE LICENSING
MA
Enumeration date
01/11/2007
Last updated
06/01/2020
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