Individual provider Active NPI

Pearl Tran Bao Thai, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1295288272
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33505-TLG Issued in CA
Practice address
1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326
Phone
(559) 449-5010
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33505-TLG CA Primary

Addresses

Primary practice location

1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326

Mailing address

1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326
Phone (559) 449-5010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pearl.thai.p4@direct.californiaeye.nextgenshare.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170713001836 CA Practitioner - Optometry 9032488614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fogg Remington Eyecare IncGroup PAC ID 7911993902, 18 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 401
Fresno, CA 93720-3326
Phone (559) 449-5010

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
87.98
Promoting interoperability
99
Improvement activities
40
Cost
62.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33505-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fogg Remington Eyecare Inc CurrentSince Jul 1, 2017 Accepting new patients
Fogg Remington Eyecare Inc Optometrist CurrentSince Jul 1, 2017 Accepting new patients

Locations

1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010

3830 N 1st St
Fresno, CA 93726
Phone (559) 449-5010

1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010

1648 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 432-2111

2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010

40232 Junction Dr
Oakhurst, CA 93644
Phone (559) 449-5010

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1295288272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "PEARL",
        "middle_name": "TRAN BAO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33505-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pearl.thai.p4@direct.californiaeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1360 E Herndon Ave Ste 401",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937203326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.