Provider Demographics
NPI:1700362480
Name:NGUYEN, BOI-DIEU HOANG (OD)
Entity type:Individual
Prefix:DR
First Name:BOI-DIEU
Middle Name:HOANG
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 1:18111 PRESTON RD STE 180
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6009
Mailing Address - Country:US
Mailing Address - Phone:972-248-0202
Mailing Address - Fax:972-248-1711
Practice Address - Street 1:18111 PRESTON RD STE 180
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6009
Practice Address - Country:US
Practice Address - Phone:972-248-0202
Practice Address - Fax:972-248-1711
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9492TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist