Individual provider Active NPI

Alice Thai, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1205452745
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9960T Issued in TX
Practice address
10000 Research Blvd Ste 150
Austin, TX 78759-5814
Phone
(512) 345-5642
NPI assigned
Jun 21, 2020
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9960T TX Primary

Addresses

Primary practice location

10000 Research Blvd Ste 150
Austin, TX 78759-5814

Mailing address

10000 Research Blvd Ste 150
Austin, TX 78759-5814

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200727000762 TX Practitioner - Optometry 1355765199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colony Eye Care Center LLPGroup PAC ID 5597854000, 5 clinicians

Practice addresses (Care Compare)

4511 Sweetwater Blvd
Sugar Land, TX 77479-3010
Phone (281) 265-2020

6134 Hwy 6
Missouri City, TX 77459-3802
Phone (281) 499-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9960TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Eye Care Center, LLP Optometrist CurrentSince Jul 6, 2021 Accepting new patients
Rosner Optometry PLLC Optometrist Past Accepting new patients
Stuart B Miller OD PC Optometrist Past Accepting new patients

Locations

6134 Highway 6
Missouri City, TX 77459
Phone (281) 499-2020

4511 Sweetwater Blvd
Sugar Land, TX 77479
Phone (281) 265-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1205452745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 RESEARCH BLVD STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 RESEARCH BLVD STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595814",
            "telephone_number": "512-345-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "ALICE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9960T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.