Provider Demographics
NPI:1417776238
Name:NGUYEN, BERLINDA THUY (OD)
Entity type:Individual
Prefix:DR
First Name:BERLINDA
Middle Name:THUY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2949 SILVERADO PL
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-4227
Mailing Address - Country:US
Mailing Address - Phone:858-207-7072
Mailing Address - Fax:
Practice Address - Street 1:2949 SILVERADO PL
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-4227
Practice Address - Country:US
Practice Address - Phone:858-207-7072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35862152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist