Organization Active NPI

Thazin Aung OD

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1114044609
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15044 Issued in CA
Legal business name
THAZIN AUNG OD
Practice address
540 University Ave
#110
Palo Alto, CA 94301
Phone
(650) 321-2015
Fax
(650) 321-2489
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Thazin Aung
Title
Ceo
Phone
(650) 321-2015

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7002T CA
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 15044 CA Primary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT7002TPA CA
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT7019TPA CA

Addresses

Primary practice location

540 University Ave
#110
Palo Alto, CA 94301

Mailing address

540 University Ave
#110
Palo Alto, CA 94301
Phone (650) 321-2015

Other identifiers 2

IdentifierTypeStateIssuer
1346271665OtherCANPI#
1568526440OtherCANPI#

Other names 1

  • Palo Alto Eyes Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

540 University Ave
Ste 110
Palo Alto, CA 94301
Phone (510) 366-2262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1114044609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 UNIVERSITY AVE",
            "address_2": "#110",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "650-321-2015",
            "fax_number": "650-321-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 UNIVERSITY AVE",
            "address_2": "#110",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "650-321-2015",
            "fax_number": "650-321-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAZIN AUNG OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "AUNG",
        "authorized_official_first_name": "THAZIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-321-2015"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7002T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15044",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7002TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7019TPA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1346271665",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1568526440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Alto Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Alto Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.