Individual provider Active NPI

Thomas Adam Geurkink, O.D.

  • Optometrist
  • Norman, OK
National Provider Identifier
1356370654
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1177 Issued in OK
Practice address
1141 36TH Ave NW Ste 102
Norman, OK 73072-4168
Phone
(405) 329-8100
Fax
(405) 321-5503
NPI assigned
Jul 1, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1177 OK Primary

Addresses

Primary practice location

1141 36TH Ave NW Ste 102
Norman, OK 73072-4168

Mailing address

1141 36TH Ave. N.W. #102
Norman, OK 73072
Phone (405) 329-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000058 OK Practitioner - Optometry 8921138553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3960 W Tecumseh Rd
Suite 110
Norman, OK 73072-1787
Phone (405) 329-8100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1177OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Vision PLLC Optometrist CurrentSince Oct 1, 2026 Accepting new patients

Locations

3960 W Tecumseh Rd
Ste 110
Norman, OK 73072
Phone (405) 329-8100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1356370654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 36TH AVE. N.W. #102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "405-329-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 36TH AVE NW STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724168",
            "telephone_number": "405-329-8100",
            "fax_number": "405-321-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEURKINK",
        "first_name": "THOMAS",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.