Individual provider Active NPI

Eric Nhan Giang Thai, O.D

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1649210873
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1416-549T Issued in LA
Practice address
11331 Old Hammond Hwy
Suite B
Baton Rouge, LA 70816-8461
Phone
(225) 246-8830
Fax
(225) 248-6208
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 769 MS
Optometrist 152W00000X 1416-549T LA Primary

Addresses

Primary practice location

11331 Old Hammond Hwy
Suite B
Baton Rouge, LA 70816-8461

Mailing address

11331 Old Hammond Hwy
Suite B
Baton Rouge, LA 70816-8461
Phone (225) 246-8830

Other identifiers 2

IdentifierTypeStateIssuer
5CX17OtherLAPTAN
1741051MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070424000199 LA Practitioner - Optometry 7416980354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Thai OD, LLCGroup PAC ID 0749385516, 2 clinicians

Practice addresses (Care Compare)

11281 Old Hammond Hwy
Suite a
Baton Rouge, LA 70816-8405
Phone (225) 246-8830

11331 Old Hammond Hwy
Suite B
Baton Rouge, LA 70816-8461

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
769MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Thai OD, LLC Optometrist CurrentSince Jan 15, 2007 Accepting new patients
Madison Professional Eyecare Associates, Inc Optometrist Past Accepting new patients
Canton Vision Clinic, P.a. Optometrist Past Accepting new patients
Professional Eyecare Associates ,Inc Optometrist Past Accepting new patients

Locations

11281 Old Hammond Hwy
Ste A
Baton Rouge, LA 70816
Phone (225) 246-8830

11331 Old Hammond Hwy
Ste B
Baton Rouge, LA 70816
Phone (225) 246-8830

32738 LA Highway 16
Ste A
Denham Springs, LA 70706
Phone (225) 243-4943

Organizations & group practices 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1649210873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 OLD HAMMOND HWY",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168461",
            "telephone_number": "225-246-8830",
            "fax_number": "225-248-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 OLD HAMMOND HWY",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168461",
            "telephone_number": "225-246-8830",
            "fax_number": "225-248-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "ERIC",
        "middle_name": "NHAN GIANG",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "769",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1416-549T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5CX17",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1741051",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.