Organization · NPI-2

Ann Vi Nguyen, Od, INC.

Optometrist · Tustin, CA

NPI number1508227406
StatusActive
Last updated in NPPESMar 19, 2016

Details

NPI
1508227406
Entity type
Organization (NPI-2)
Legal business name
Ann Vi Nguyen, Od, INC.
Organization subpart
No
Enumeration date
Mar 19, 2016
Last updated
Mar 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist12227CAYes

Practice location

2655 El Camino Real
Tustin, CA 92782-8918

Phone 714-592-3222

Mailing address

339 Gulf Stream Way
Costa Mesa, CA 92627-2291

Phone 714-305-0063

Authorized official

Ann Vi Nguyen
President
7143050063

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