Individual provider Active NPI

Thuytien Tran Mai, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1447538285
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
947 Issued in NV
Practice address
9770 S Maryland Pkwy Ste 10
Las Vegas, NV 89183
Phone
(702) 492-0719
Fax
(702) 492-0095
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 947 NV Primary

Addresses

Primary practice location

9770 S Maryland Pkwy Ste 10
Las Vegas, NV 89183

Mailing address

9770 S Maryland Pkwy Ste 10
Las Vegas, NV 89183-7143
Phone (702) 492-0719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190218002699 NV Practitioner - Optometry 7214100650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive EyecareGroup PAC ID 8820274616, 5 clinicians

Practice addresses (Care Compare)

1513 W Craig Rd
Suite 1
North Las Vegas, NV 89032-0234
Phone (702) 368-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
947NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Eyecare Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Oklahoma Vision Development Center Optometrist Past Accepting new patients
Riverside Eye Clinic Optometrist PastSince Apr 22, 2014 Accepting new patients
Riverside Eye Clinic Optometrist PastSince Apr 22, 2014 Accepting new patients
Advantage Eyecare, P.C. Optometrist Past Accepting new patients

Locations

740 S Rampart Blvd
Ste 6
Las Vegas, NV 89145
Phone (702) 331-4247

4100 Blue Diamond Rd
Las Vegas, NV 89139
Phone (702) 266-8049

1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032
Phone (702) 368-2021

Organizations & group practices 5

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1447538285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 S MARYLAND PKWY STE 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837143",
            "telephone_number": "702-492-0719",
            "fax_number": "702-492-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 S MARYLAND PKWY STE 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89183",
            "telephone_number": "702-492-0719",
            "fax_number": "702-492-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "THUYTIEN",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.