Provider Demographics
NPI:1043507155
Name:NGUYEN, NEWTON (OD)
Entity type:Individual
Prefix:
First Name:NEWTON
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 WEXFORD CIR
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-4939
Mailing Address - Country:US
Mailing Address - Phone:408-772-9569
Mailing Address - Fax:
Practice Address - Street 1:1213 PLEASANT GROVE BLVD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-6989
Practice Address - Country:US
Practice Address - Phone:916-789-1959
Practice Address - Fax:916-789-1961
Is Sole Proprietor?:No
Enumeration Date:2011-07-09
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV706152W00000X
CA14867152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist