Provider Demographics
NPI:1194939082
Name:NGUYEN, EMILY CAMCHAU DO (OD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CAMCHAU DO
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4415 144TH PL SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-6914
Mailing Address - Country:US
Mailing Address - Phone:206-683-4361
Mailing Address - Fax:425-379-9856
Practice Address - Street 1:16616 TWIN LAKES
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271
Practice Address - Country:US
Practice Address - Phone:360-652-4543
Practice Address - Fax:360-652-4544
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3504152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist