Provider Demographics
NPI:1548976988
Name:NGUYEN, BARBARA-DINH (OD)
Entity type:Individual
Prefix:
First Name:BARBARA-DINH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 NOTRE DAME AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1750
Mailing Address - Country:US
Mailing Address - Phone:415-505-2502
Mailing Address - Fax:
Practice Address - Street 1:1720 EL CAMINO REAL STE 235
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3213
Practice Address - Country:US
Practice Address - Phone:650-259-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35379152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist