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

Last updated

Sep 24, 2016By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Khanh Bui, O.D., P.C.

  dba Envision Optometry

  • 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.