Active NPI
Mai Optometry Corporation
- Optometrist
- San Leandro, CA
National Provider Identifier
1780138453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 15423 TLG
- Legal business name
- MAI OPTOMETRY CORPORATION
- Practice address
- 1598 Washington Ave
San Leandro, CA 94577-4465 - Phone
- (510) 895-2116
- NPI assigned
- Aug 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vy Thuy Mai, O.D.
- Title
- Optometrist
- Phone
- (510) 895-2116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 15423 TLG | CA | Primary |
Addresses
Primary practice location
1598 Washington Ave
San Leandro, CA 94577-4465
Mailing address
1598 Washington Ave
San Leandro, CA 94577-4465
Phone (510) 895-2116
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601510400000",
"number": "1780138453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1598 WASHINGTON AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774465",
"telephone_number": "510-895-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1598 WASHINGTON AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774465",
"telephone_number": "510-895-2116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAI OPTOMETRY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-10",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A",
"authorized_official_last_name": "MAI",
"authorized_official_first_name": "VY",
"authorized_official_middle_name": "THUY",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "510-895-2116",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 15423 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.