Thao Jacqueline Thi Mai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33573-TLG Issued in CA

Practice address

2180 Tully Rd
San Jose, CA 95122-1345

Phone

(408) 239-1168

NPI assigned

Sep 24, 2016

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.

• Dr. Khanh Bui, O.D., P.C.

  • Optometrist
  • San Jose, CA
  • NPI 1932382736
  Medicare reassignment NPD

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1720537319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221345",
            "telephone_number": "408-239-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221345",
            "telephone_number": "408-239-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "THAO JACQUELINE",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33573-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Mai, PHARMD
• Marianne V Mai, O.D.
• Michelle Mai
• Nhat Van Mai, M.D.
• Patrick Mai
• Tuong Manh Mai, D.C
• Vinh Duy Mai, RD
• Jason Maier, PSYD
• Mimi Maier
• Gianna Maietta

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.