Xuan-Mai Ta Inc.Optometrist and Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

T2107 Issued in MN

Legal business name

XUAN-MAI TA INC.OPTOMETRIST AND ASSOCIATES

Practice address

2718 Nicollet Avenue South
Suite 103
Minneapolis, MN 55408

Phone

(612) 871-1518

Fax

(612) 871-2585

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Xuanmai Thi Ta, O.D.

Title

Dr

Phone

(952) 380-8068

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1750502597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12167 CARTWAY CURVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55347",
            "telephone_number": "952-380-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 NICOLLET AVENUE SOUTH",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "612-871-1518",
            "fax_number": "612-871-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUAN-MAI TA INC.OPTOMETRIST AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "XUANMAI",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "952-380-8068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "T2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soua Xiong
• Tuzaj Xiong, DC
• Zoua Xiong, CHW
• Amanda Kathleen Xu, MA, LMFT
• Julie Xu
• Brian R Yablon, M.D.
• Rachel Yablon, MSW, LGSW
• Sangeeta Yadav
• Kathryn Ann Yaeger, COTA/L
• Madison Yaeger, PA-C

• Optometrist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.