Healthcare Provider Details

I. General information

NPI: 1144605452
Provider Name (Legal Business Name): THIEN T NGUYEN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 W TECUMSEH RD STE 110
NORMAN OK
73072-1787
US

IV. Provider business mailing address

3960 W TECUMSEH RD STE 110
NORMAN OK
73072-1787
US

V. Phone/Fax

Practice location:
  • Phone: 405-328-8100
  • Fax: 405-321-5503
Mailing address:
  • Phone: 405-476-3386
  • Fax: 405-321-5503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number2863
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: