Individual provider Active NPI

Vy Thuy Mai, O.D

  • Pediatric Optometrist
  • Kirkland, WA
National Provider Identifier
1831597715
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
OD61114641 Issued in WA
Practice address
11800 NE 128TH St Ste 430
Kirkland, WA 98034-7299
Phone
(425) 823-3937
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3582AT OR
Pediatric Optometrist 152WP0200X OD61114641 WA Primary
Optometrist 152W00000X OPT 15423 TLG CA

Addresses

Primary practice location

11800 NE 128TH St Ste 430
Kirkland, WA 98034-7299

Mailing address

26601 SE Duthie Hill Rd
Issaquah, WA 98029-9181
Phone (971) 222-5869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210603003257 WA Practitioner - Optometry 8628365921 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 15423 TLGCAMDOptometrist
3582ATORMDOptometrist
OD61114641WAMDPediatric Optometrist
15423CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Eye Care, PC Pediatrics CurrentSince Jun 7, 2025 Accepting new patients
Pediatrix Cardiology of Washington, P.C. CurrentSince Mar 1, 2021 Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

11800 NE 128th St
Ste 430
Kirkland, WA 98034
Phone (425) 823-3937

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1831597715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26601 SE DUTHIE HILL RD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980299181",
            "telephone_number": "971-222-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 430",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347299",
            "telephone_number": "425-823-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "VY",
        "middle_name": "THUY",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3582AT",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "OD61114641",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 15423 TLG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.