Individual provider Active NPI

Emily Thai, OD

  • Optometrist
  • San Diego, CA
National Provider Identifier
1720699432
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34649 Issued in CA
Practice address
10994 W Ocean Air Dr Apt 286
San Diego, CA 92130-4635
Phone
(626) 277-6476
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34649 CA Primary

Addresses

Primary practice location

10994 W Ocean Air Dr Apt 286
San Diego, CA 92130-4635

Mailing address

10994 W Ocean Air Dr Apt 286
San Diego, CA 92130-4635
Phone (626) 277-6476

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210811001818 CA Practitioner - Optometry 2567866601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

5990 Santo Rd
San Diego, CA 92124-1192
Phone (858) 345-5352

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34649CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Aug 3, 2021 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Aug 3, 2021 Accepting new patients
Michelle King OD Inc a Professional Corporation Optometrist CurrentSince Aug 3, 2021 Accepting new patients
Charles J Korth OD, Inc Optometrist PastSince Jan 7, 2014 Accepting new patients
Michael a Goldsmid, O.D., an Optometric Corporation PastSince Feb 9, 2010 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Gregory Y. Kame, O.D., F.a.a.O., a Professional Corporation Optometrist PastSince Oct 1, 1999 Accepting new patients
Mark a. Chung, O.D., a Professional Corporation Optometrist Past Accepting new patients
John C Pack, O.D. and Beverly Bianes, O.D. Inc Optometrist PastSince Mar 1, 2007 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Dr.Harvey Goldstone, a Professional Corporation Optometrist PastSince Jul 22, 2016 Accepting new patients
Mira Mesa Optometry, Inc Optometrist PastSince Mar 28, 2018 Accepting new patients
Crum Optometric Group, Inc Optometrist PastSince Feb 9, 2011 Accepting new patients
Daniel and Davis Optometry, Inc. PastSince May 1, 2005 Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients

Locations (25 of 28)

3144 El Camino Real
Ste 202
Carlsbad, CA 92008
Phone (760) 434-3314

2581 Chino Hills Pkwy
Ste C
Chino Hills, CA 91709
Phone (909) 393-8378

374 E H St
Chula Vista, CA 91910
Phone (619) 425-7990

890 Eastlake Pkwy
Ste 102
Chula Vista, CA 91914
Phone (619) 216-3937

718 N Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (909) 402-2020

1093 E Main St
El Cajon, CA 92021
Phone (619) 444-1153

2907 Jamacha Rd
#A
El Cajon, CA 92019
Phone (619) 660-0272

1454 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 753-6336

7850 Broadway
Lemon Grove, CA 91945
Phone (619) 697-2020

2280 E Carson St
Long Beach, CA 90807
Phone (562) 422-2020

334B E 2nd St
Los Angeles, CA 90012
Phone (213) 628-7419

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1481 E Plaza Blvd
National City, CA 91950
Phone (619) 477-2159

1 W California Blvd
Ste 513
Pasadena, CA 91105
Phone (626) 382-2509

14757 Pomerado Rd
Poway, CA 92064
Phone (858) 842-3006

30212 Tomas
Ste 170
Rcho Sta Marg, CA 92688
Phone (949) 589-0900

4515 Central Ave
Ste 101
Riverside, CA 92506
Phone (909) 784-2420

12880 Carmel Country Rd
San Diego, CA 92130
Phone (858) 350-1302

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

8230 Mira Mesa Blvd
Ste B
San Diego, CA 92126
Phone (858) 566-6670

12880 Carmel Country Rd
#D110
San Diego, CA 92130

5990 Santo Rd
San Diego, CA 92124
Phone (858) 345-5352

3750 Sports Arena Blvd
Ste 9
San Diego, CA 92110
Phone (619) 224-2879

7770 Regents Rd
Ste 104
San Diego, CA 92122
Phone (858) 546-1940

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1720699432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10994 W OCEAN AIR DR APT 286",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304635",
            "telephone_number": "626-277-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10994 W OCEAN AIR DR APT 286",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304635",
            "telephone_number": "626-277-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.