Matthew S Thai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6996TG Issued in TX

Practice address

4700 Seton Center Pkwy Ste 150
Austin, TX 78759-5711

Phone

(512) 345-3595

Fax

(512) 345-7618

NPI assigned

Oct 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDDGCA
• FHIR API: https://fhir4.healow.com/fhir/r4/BDDGCA/Endpoint/BDDGCA
• Direct secure messaging: matthew.thai.p1@direct.eyespecialistsofil.nextgenshare.com

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.

• Austin Pediatric Ophthalmology and Strabismus PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1770697088
  Medicare reassignment NPD
• Ridge Optical

  • Durable Medical Equipment & Medical Supplies
  • Park Ridge, IL
  • NPI 1376656686

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1114170339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595711",
            "telephone_number": "512-345-3595",
            "fax_number": "512-345-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595711",
            "telephone_number": "512-345-3595",
            "fax_number": "512-345-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010492",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12681",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6996TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770677908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita G. Thadani, MD
• Greg Thaera, M.D.
• Alice Thai, OD
• Jennifer Thai, OD
• Martin V Thai, MD
• Raj Kamlesh Thaker, D.M.D
• Semran Thamer, MD
• Todd A Thames, M.D.
• Daphne Thammasila, MA, CF-SLP
• Susrutha Thanam, M.D.

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.