Individual provider Active NPI

Nancy Mai, OD

  • Optometrist
  • Kyle, TX
National Provider Identifier
1326720947
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10991T Issued in TX
Practice address
5581 Kyle Center Dr Ste 101
Kyle, TX 78640-2850
Phone
(512) 268-7600
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2007-953AT LA
Optometrist 152W00000X 10991T TX Primary

Addresses

Primary practice location

5581 Kyle Center Dr Ste 101
Kyle, TX 78640-2850

Mailing address

5581 Kyle Center Dr Ste 101
Kyle, TX 78640-2850
Phone (512) 268-7600

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
I20231017000521 TX Practitioner - Optometry 0244685865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyle Vision PLLCGroup PAC ID 9335384635, 2 clinicians

Practice addresses (Care Compare)

5581 Kyle Ctr Dr
Suite 101
Kyle, TX 78640-2850
Phone (512) 268-7600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007-953ATLAMDOptometrist
10991TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Vision PLLC Optometrist CurrentSince Oct 9, 2023 Accepting new patients

Locations

5581 Kyle Center Dr
Ste 101
Kyle, TX 78640
Phone (512) 268-7600

Organizations & group practices 1

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1326720947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 KYLE CENTER DR STE 101",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402850",
            "telephone_number": "512-268-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5581 KYLE CENTER DR STE 101",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402850",
            "telephone_number": "512-268-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "NANCY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-10-31",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2007-953AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10991T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.