Provider Demographics
NPI:1043058944
Name:NGUYEN, JAMES VINH (OD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:VINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BROOKSHIRE BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6751
Mailing Address - Country:US
Mailing Address - Phone:406-656-8886
Mailing Address - Fax:
Practice Address - Street 1:100 BROOKSHIRE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6751
Practice Address - Country:US
Practice Address - Phone:406-656-8886
Practice Address - Fax:406-655-9691
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOPT-OPT-LIC-5274152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist