| Tam Nguyen Od Pllc | |
| 3850 Conlon Way Ste F, Elizabeth City, NC 27909-7665 | |
| (252) 512-5004 | |
| (252) 888-1442 | 
| Full Name | Tam Nguyen Od Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 3850 Conlon Way Ste F, Elizabeth City, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508414616 | NPI | - | NPPES | 
| 0618002584 | Other | VA | OPTOMETRY LICENSE NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Tam Nguyen | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1689197568 PECOS PAC ID: 1951646835 Enrollment ID: I20191209000228 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tam Nguyen Od Pllc 3850 Conlon Way Ste F, Elizabeth City, NC 27909-7665 Ph: (252) 512-5004 | Tam Nguyen Od Pllc 3850 Conlon Way Ste F, Elizabeth City, NC 27909-7665 Ph: (252) 512-5004 | 
| Dr. Michael C Baughan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1813 W Ehringhaus St, Elizabeth City, NC 27909 Phone: 252-333-1155 Fax: 252-333-1796 | |
| Jill Moncla,  Optometrist Medicare: Medicare Enrolled Practice Location: 1813 W Ehringhaus St, Elizabeth City, NC 27909 Phone: 252-333-1155 Fax: 252-333-1796 | |
| Eric Matthew Burns, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1503 N Road St, Elizabeth City, NC 27909 Phone: 252-335-5446 Fax: 252-335-4153 | |
| Gary W Lehman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1503 N Road St, Elizabeth City, NC 27909 Phone: 252-335-5446 Fax: 252-335-4153 | |
| Dr. Kenton L Lilyquist, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1813 W Ehringhaus St, Elizabeth City, NC 27909 Phone: 252-333-1155 Fax: 252-451-5330 | |
| Eyecarecenter Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1813 W Ehringhaus St, Elizabeth City, NC 27909 Phone: 636-200-4393 Fax: 252-333-1796 |