Dr Pauline L Nguyen O D & Associates P a

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC004095 Issued in FL

Legal business name

DR PAULINE L NGUYEN O D & ASSOCIATES P A

Practice address

3020 Lamberton Blvd
Suite 107
Orlando, FL 32825

Phone

(407) 780-6546

NPI assigned

Apr 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pauline Lam Nguyen, O D

Title

Optometrist

Phone

(407) 780-6546

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1114190204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 SAVANNAH BLUFF LANE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32829",
            "telephone_number": "407-780-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LAMBERTON BLVD",
            "address_2": "SUITE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "407-780-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAULINE L NGUYEN O D & ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "LAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-780-6546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621298100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.