Individual provider Active NPI

Jessica N Mai, OD

  • Optometrist
  • Topeka, KS
National Provider Identifier
1417103458
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1813 Issued in KS
Practice address
1107 SW Gage Blvd Ste 200
Topeka, KS 66604-2098
Phone
(785) 271-8989
Fax
(785) 228-0370
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1813 KS Primary

Addresses

Primary practice location

1107 SW Gage Blvd Ste 200
Topeka, KS 66604-2098

Mailing address

1107 SW Gage Blvd Ste 200
Topeka, KS 66604-2098
Phone (785) 271-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20081103000484 KS Practitioner - Optometry 6204995418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care of Topeka, P.a.Group PAC ID 2668411398, 3 clinicians

Practice addresses (Care Compare)

1107 SW Gage Blvd
Suite 200
Topeka, KS 66604-2098
Phone (785) 271-8989

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1813KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Topeka, P.a. Optometrist CurrentSince Jan 1, 2021 Accepting new patients

Locations

1107 SW Gage Blvd
Ste 200
Topeka, KS 66604
Phone (785) 271-8989

1107 SW Gage Blvd
Topeka, KS 66604
Phone (785) 271-8989

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1417103458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042098",
            "telephone_number": "785-271-8989",
            "fax_number": "785-228-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042098",
            "telephone_number": "785-271-8989",
            "fax_number": "785-228-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "JESSICA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.