Provider Demographics
NPI:1699890756
Name:NGUYEN, CURT CUONG (OPTOMETRIST)
Entity type:Individual
Prefix:DR
First Name:CURT
Middle Name:CUONG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:OPTOMETRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1067 HAY CT
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6965
Mailing Address - Country:US
Mailing Address - Phone:408-934-1226
Mailing Address - Fax:
Practice Address - Street 1:2800 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-7628
Practice Address - Country:US
Practice Address - Phone:925-960-0248
Practice Address - Fax:925-960-0258
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11574T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist