Provider Demographics
NPI:1891148268
Name:NGUYEN, JOSEPH P (OD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:NGUYEN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7595 BLUE QUAIL LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5808
Mailing Address - Country:US
Mailing Address - Phone:504-638-5701
Mailing Address - Fax:
Practice Address - Street 1:3119 DANIELS RD STE 110
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-7012
Practice Address - Country:US
Practice Address - Phone:407-654-5453
Practice Address - Fax:407-554-0201
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5264152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist