Individual provider Active NPI

Mai Ly Tsai, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1477792398
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1719 Issued in AZ
Practice address
5979 E Grant Rd Ste 107
Tucson, AZ 85712-2368
Phone
(520) 989-1166
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1719 AZ Primary

Addresses

Primary practice location

5979 E Grant Rd Ste 107
Tucson, AZ 85712-2368

Mailing address

5979 E Grant Rd Ste 107
Tucson, AZ 85712-2368
Phone (520) 535-2588

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FORMedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtsai@aect.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100927001365 AZ Practitioner - Optometry 9436275492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Care of Tucson PLLCGroup PAC ID 7618303397, 2 clinicians

Practice addresses (Care Compare)

5979 E Grant Rd
Suite 107
Tucson, AZ 85712-2368
Phone (520) 535-2588

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1719AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Care of Tucson, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

4709 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 722-4700

5979 E Grant Rd
Ste 107
Tucson, AZ 85712
Phone (520) 535-2588

Organizations & group practices 3

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1477792398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 E GRANT RD STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122368",
            "telephone_number": "520-535-2588",
            "fax_number": "520-535-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 E GRANT RD STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122368",
            "telephone_number": "520-989-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "MAI",
        "middle_name": "LY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtsai@aect.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5979 E Grant Rd Ste 107",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857122368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.