Active NPI
Mai Chu, O.D.
- Optometrist
- Southborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OTP4768
- Practice address
- 24 Newton St
Southborough, MA 01772-1215 - Phone
- (084) 603-1505
- Fax
- (508) 460-3061
- NPI assigned
- Jul 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011521 | IL | |
| Optometrist | 152W00000X | OTP4768 | MA | Primary |
Addresses
Primary practice location
24 Newton St
Southborough, MA 01772-1215
Mailing address
24 Newton St
Southborough, MA 01772-1215
Phone (084) 603-1505
Other names 1
- Mai Chu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Newton St
Southborough, MA 01772-1215
Phone (508) 486-4472
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011521 | IL | MD | Optometrist |
| OTP4768 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Reliant Medical Group, Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2050 Pfingsten Rd
Ste 280
Glenview, IL 60026
Phone (224) 251-2020
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
33 Broad St
Boston, MA 02109
Phone (617) 742-7200
24 Newton St
Southborough, MA 01772
Phone (508) 460-3190
1 Washington St
Ste 101
Wellesley Hills, MA 02481
Phone (617) 332-1471
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Medicine Physician
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- NPI 1720017528
-
- Optometrist
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- NPI 1124534946
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Optometrist
- Boston, MA
- NPI 1548822315
-
- Optometrist
- North Andover, MA
- NPI 1922971415
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1063643963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 NEWTON ST",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721215",
"telephone_number": "084-603-1505",
"fax_number": "508-460-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 NEWTON ST",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721215",
"telephone_number": "084-603-1505",
"fax_number": "508-460-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "MAI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011521",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "OTP4768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAI",
"last_name": "CHU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.