Provider Demographics
NPI:1902244924
Name:MAI NGUYEN OD PLLC
Entity Type:Organization
Organization Name:MAI NGUYEN OD PLLC
Other - Org Name:MASTER EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAI
Authorized Official - Middle Name:ANH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-459-4908
Mailing Address - Street 1:2401 S STEMMONS FWY
Mailing Address - Street 2:SUITE 2210
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8775
Mailing Address - Country:US
Mailing Address - Phone:972-459-4908
Mailing Address - Fax:972-316-0169
Practice Address - Street 1:2401 S STEMMONS FWY
Practice Address - Street 2:SUITE 2210
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8775
Practice Address - Country:US
Practice Address - Phone:972-459-4908
Practice Address - Fax:972-316-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty