Amanda Thai, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34861 Issued in CA

Practice address

4240 Kearny Mesa Rd Ste 101
San Diego, CA 92111-3769

Phone

(858) 565-1001

Fax

(858) 565-1004

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keddington & Kalra Optometrists Apc

  • Optometrist
  • Chula Vista, CA
  • NPI 1376793828
  Medicare reassignment NPD
• Michelle King OD Inc a Professional Corporation

  • Optometrist
  • Poway, CA
  • NPI 1609180603
  Medicare reassignment NPD
• Tran Ta Inc

  • Optometrist
  • San Diego, CA
  • NPI 1902342611
  Medicare reassignment NPD
• Keddington & Kalra Optometrists Apc

  • Optometrist
  • Spring Valley, CA
  • NPI 1538204441
  NPD
• Milestones Optometry, Inc.

  • Optometrist
  • San Marcos, CA
  • NPI 1841703733
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1457928558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 KEARNY MESA RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113769",
            "telephone_number": "858-565-1001",
            "fax_number": "858-565-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 KEARNY MESA RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113769",
            "telephone_number": "858-565-1001",
            "fax_number": "858-565-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "AMANDA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Thacker, R.D.
• Maren Crickmore Thacker, MA, CCC-SLP
• Laura Thackray, PSYD
• Thai Sport Group
• Jacqueline Ann Thai Van Dat
• David Thai Jr.
• Emily Thai, OD
• Hanh Nguyen Thai, RPH
• Julia Thai, PHARM.D
• Justin Chika Thai, MD

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.