Provider Demographics
NPI:1366153777
Name:NGUYEN, VINCENT ANH-VU (OD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:ANH-VU
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 1:2106 CASTLEFORD LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3310
Mailing Address - Country:US
Mailing Address - Phone:972-679-1032
Mailing Address - Fax:
Practice Address - Street 1:2106 CASTLEFORD LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3310
Practice Address - Country:US
Practice Address - Phone:972-679-1032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10719T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist