Individual provider Active NPI

Amy Luu Q.a. Mai, O.D.

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1730557182
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8780T Issued in TX
Practice address
5488 S. Padre Island Drive
Suite 2042
Corpus Christi, TX 78411
Phone
(361) 994-0310
Fax
(361) 994-0452
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8780T TX Primary

Addresses

Primary practice location

5488 S. Padre Island Drive
Suite 2042
Corpus Christi, TX 78411

Mailing address

5488 S. Padre Island Drive
Suite 2042
Corpus Christi, TX 78411
Phone (361) 994-0310

Other names 1

  • Amy Q Luu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150921000354 TX Practitioner - Optometry 2860709094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors McIntyre and GarzaGroup PAC ID 4183604861, 11 clinicians

Practice addresses (Care Compare)

5488 S Padre Island Dr
Suite 2042
Corpus Christi, TX 78411-4122
Phone (361) 994-0310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8780TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James a Williams O.D.P.C. Current Accepting new patients
James a. Williams O.D.P.C. CurrentSince Jun 26, 2018 Accepting new patients
Doctors McIntyre and Garza Optometrist CurrentSince Jul 16, 2015 Accepting new patients

Locations

5488 Spid Dr
Ste 2042
Corpus Christi, TX 78411
Phone (361) 994-0310

120 Town Pl
Fairview, TX 75069
Phone (972) 549-4255

2601 Preston Rd
Ste 2124
Frisco, TX 75034
Phone (972) 335-9332

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1730557182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5488 S. PADRE ISLAND DRIVE",
            "address_2": "SUITE 2042",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-994-0310",
            "fax_number": "361-994-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 S. PADRE ISLAND DRIVE",
            "address_2": "SUITE 2042",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-994-0310",
            "fax_number": "361-994-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "AMY LUU",
        "middle_name": "Q.A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8780T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LUU",
            "middle_name": "Q",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.