Provider Demographics
NPI:1285073049
Name:NGUYEN, HOA THE (OD)
Entity type:Individual
Prefix:
First Name:HOA
Middle Name:THE
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 STATE HIGHWAY 121
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2917
Mailing Address - Country:US
Mailing Address - Phone:972-342-0586
Mailing Address - Fax:
Practice Address - Street 1:8900 STATE HIGHWAY 121
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2917
Practice Address - Country:US
Practice Address - Phone:972-342-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8245152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist