Provider Demographics
NPI:1457965477
Name:NGUYEN, AMIE THU (OD)
Entity type:Individual
Prefix:DR
First Name:AMIE
Middle Name:THU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19368 RONALD W REAGAN BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-4266
Mailing Address - Country:US
Mailing Address - Phone:512-764-6850
Mailing Address - Fax:
Practice Address - Street 1:19368 RONALD W REAGAN BLVD STE 130
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-4266
Practice Address - Country:US
Practice Address - Phone:512-764-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10014152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist