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Contact Information

CHINH T NGUYEN, OD
87 W MARCH LN
SUITE 2
STOCKTON, CA95207-5731
 Phone: 209-952-4647
 Fax: 209-952-4636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHINH T NGUYEN · (Male)

NPI Number 1306921986
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/25/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 11714T
  • CA Medicaid 1306921986
  • CA Medicaid SD0117140
  • CA Other 11714T CALIFORNIA LICENSE
  • CA Other P00737152 MEDICARE RAILROAD PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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