Organization Active NPI

Thao Mai, LLC

  • Optometrist
  • Marrero, LA
National Provider Identifier
1518249366
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1530-567T Issued in LA
Legal business name
THAO MAI, LLC
Practice address
4810 Lapalco Blvd
Marrero, LA 70072-4382
Phone
(504) 341-0818
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Thao Mai, OD
Title
Optometrist
Phone
(504) 723-3546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1530-567T LA Primary

Addresses

Primary practice location

4810 Lapalco Blvd
Marrero, LA 70072-4382

Mailing address

20 Nottoway Dr
Marrero, LA 70072-5077
Phone (504) 723-3546

Other identifiers 1

IdentifierTypeStateIssuer
1019453MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1518249366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NOTTOWAY DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725077",
            "telephone_number": "504-723-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 LAPALCO BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724382",
            "telephone_number": "504-341-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAO MAI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "504-723-3546",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1530-567T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019453",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.