Active NPI
Mai Tang OD, Inc
- Optometrist
- Fullerton, CA
National Provider Identifier
1316206550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10595T
- Legal business name
- MAI TANG OD, INC
- Practice address
- 1893 W Malvern Ave
Fullerton, CA 92833-2403 - Phone
- (714) 924-2552
- Fax
- (714) 278-9075
- NPI assigned
- May 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mai Tang, O.D.
- Title
- President
- Phone
- (714) 924-2552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10595T | CA | Primary |
Addresses
Primary practice location
1893 W Malvern Ave
Fullerton, CA 92833-2403
Mailing address
5365 Granby Dr
Yorba Linda, CA 92887-3712
Phone (714) 924-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Mai Tang OD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Seal Beach, CA
- NPI 1730430471
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fullerton, CA
- NPI 1144365396
-
- Optometrist
- Seal Beach, CA
- NPI 1477391605
-
- Low Vision Rehabilitation Optometrist
- Los Alamitos, CA
- NPI 1144365024
-
- Optometrist
- Diamond Bar, CA
- NPI 1912444670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381536000000",
"number": "1316206550",
"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": "714-924-2552"
},
{
"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": "714-924-2552",
"fax_number": "714-278-9075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAI TANG OD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2013-10-12",
"status": "A",
"authorized_official_last_name": "TANG",
"authorized_official_first_name": "MAI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-924-2552",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "10595T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.