Mai Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MAI OPTOMETRIC GROUP

Practice address

1515 Aurora Dr Ste 201K
San Leandro, CA 94577-3105

Phone

(971) 222-5869

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Vy Mai, OD

Title

Ceo

Phone

(971) 222-5869

Specialties & licenses 1

Addresses

Other names 1

• Aspen Optometric Care Doing business as

Locations

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1528620705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 AURORA DR STE 201K",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 AURORA DR STE 201K",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773105",
            "telephone_number": "971-222-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "VY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-222-5869",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Optometric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tahesha Lynn Magobet
• Ronald Mah, M.A.
• Ava Mahan, PHARMD
• Amanda Maharaj, DC
• Sierra Nicole Mahone
• Mai Optometry Corporation
• Amanda Majail-Blanco
• Raymond Makori
• Lauren M Malbroux
• Lindsay S Malcolm, PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.