Nguyen, Thanh

Nguyen, Thanh is an individual health care provider with primary practice located at 1515 9Th Ave N , St Petersburg FL 33705-1224. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Nguyen, Thanh can be contacted via phone (727) 895-2020.

Contact Information

Primary practice address
1515 9Th Ave N St Petersburg FL 33705-1224
Phone: (727) 895-2020
Fax: (727) 823-8796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA2426 Maryland
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC5044 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC5044 Florida

Profile Details

NPI number 1396150587
LBN Legal business name Nguyen, Thanh
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396150587 NPPES
Florida MEDICAID 15268300

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