Mai Tang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10595T Issued in CA

Practice address

1893 W Malvern Ave
Fullerton, CA 92833-2403

Phone

(714) 925-2552

Fax

(714) 278-9075

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Mai Tang OD, Inc

  • Optometrist
  • Fullerton, CA
  • NPI 1316206550
  Medicare reassignment NPD Authorized official
• Mai Tang OD Inc

  • Optometrist
  • Seal Beach, CA
  • NPI 1730430471
  NPD Authorized official
• Walmart Inc.

  dba WalMart Pharmacy 10-5641

  • Community/Retail Pharmacy
  • La Habra, CA
  • NPI 1225397201
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1144365396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 GRANBY DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873712",
            "telephone_number": "714-925-2552",
            "fax_number": "714-278-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 W MALVERN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332403",
            "telephone_number": "714-925-2552",
            "fax_number": "714-278-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "MAI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10595T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD105952",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miyu Rosie Tanabe, BSW
• Andrew Tang, L.AC.
• Catherine Nguyen Tang, LCSW
• Christin Tang
• Joseph Tang
• Victoria Tang
• Jenifer Michelle Tanner, MFTT
• Stephen Wynn Tanner
• Tao Nature Medicine Inc
• Catherine Nguyen Taosuvanna, MPAS, PA-C

• Optometrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.

Verify at the official NPI Registry.