Individual provider Active NPI

Kathleen Thai, OD

  • Optometrist
  • Stoneham, MA
National Provider Identifier
1083463004
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5711 Issued in MA
Practice address
1 Montvale Ave Ste 204
Stoneham, MA 02180-3559
Phone
(781) 279-4418
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5711 MA Primary

Addresses

Primary practice location

1 Montvale Ave Ste 204
Stoneham, MA 02180-3559

Mailing address

1 Montvale Ave Ste 501
Stoneham, MA 02180-3567
Phone (781) 279-4418

Other practice location 1

243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3185

Other practice location 2

300 Ocean Ave Ste 1
Revere, MA 02151-3675
Phone (781) 485-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20241210002257 MA Practitioner - Optometry 4981130259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Eye and Ear Associates, IncGroup PAC ID 4486540275, 430 clinicians

Practice addresses (Care Compare)

1 Montvale Ave
Suite 501
Stoneham, MA 02180-3567
Phone (781) 279-4418

Hospital & facility affiliations

  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5711MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye and Ear Associates, Inc. Optometrist CurrentSince Aug 18, 2025 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince Sep 28, 2024 Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

300 Ocean Ave
Ste 1
Revere, MA 02151
Phone (781) 485-6140

4199 Washington St
Roslindale, MA 02131
Phone (617) 323-4440

1 Montvale Ave
Ste 501
Stoneham, MA 02180
Phone (781) 279-2332

1 Montvale Ave
Ste 204
Stoneham, MA 02180
Phone (781) 279-4418

Interoperability endpoints

  • Direct secure messaging: thai.kathleen.meei@direct.partners.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1083463004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MONTVALE AVE STE 501",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803567",
            "telephone_number": "781-279-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MONTVALE AVE STE 204",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803559",
            "telephone_number": "781-279-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Charles St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021143002",
            "country_code": "US",
            "telephone_number": "617-573-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Ocean Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "021513675",
            "country_code": "US",
            "telephone_number": "781-485-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.