Individual provider Active NPI

Kaiyun Kathleen Mai, O.D.

  • Optometrist
  • Castro Valley, CA
National Provider Identifier
1730436643
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14443 Issued in CA
Practice address
3550 Castro Valley Blvd
Castro Valley, CA 94546-4402
Phone
(510) 581-1680
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14443 CA Primary

Addresses

Primary practice location

3550 Castro Valley Blvd
Castro Valley, CA 94546-4402

Mailing address

14603 Merced St
San Leandro, CA 94579-1058
Phone (510) 388-7379

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
I20230808000389 CA Practitioner - Optometry 8628291358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3550 Castro Valley Blvd
Castro Valley, CA 94546-4402
Phone (510) 581-1680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14443CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Mai, O.D., Optometry Corp Optometrist CurrentSince Jun 10, 2023 Accepting new patients
Eyebright Optometry Optometrist CurrentSince Jun 18, 2023 Accepting new patients
Kathleen Mai OD Optometrist Past Accepting new patients

Locations

3550 Castro Valley Blvd
Castro Valley, CA 94546
Phone (510) 581-1680

Organizations & group practices 3

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1730436643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 MERCED ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791058",
            "telephone_number": "510-388-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464402",
            "telephone_number": "510-581-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "KAIYUN",
        "middle_name": "KATHLEEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.