Thomas Nguyen
Optometrist in Clackamas, OR. Individual provider (NPI-1).
NPI number1740860147
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1740860147
- Entity type
- Individual (NPI-1)
- Name
- Thomas Nguyen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2021
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | ATI4570 | OR | Yes |
| 152W00000X | Optometrist | 61327713 | WA |
Practice location
12100 Se Stevens RdClackamas, OR 97086
Phone 503-813-2000
Mailing address
500 Ne Multnomah St Ste 100Portland, OR 97232-2099
Phone 800-813-2000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Optometrist providers in Clackamas · All 2,438 providers in Clackamas
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