Pauline Thai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4538 Issued in FL

Practice address

403 Vonderburg Dr
Brandon, FL 33511-5982

Phone

(813) 681-1122

Fax

(813) 684-4924

NPI assigned

Aug 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: pthai@floridaeye.intellechartdirect.net

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.

• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment NPD
• Myeyedr. Optometry of Florida, LLC

  • Optometrist
  • Lake Wales, FL
  • NPI 1396277141
  NPD
• True Eye Experts West Palm LLC

  • Optometrist
  • Vero Beach, FL
  • NPI 1184393720
  NPD

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1871808097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST ST N",
            "address_2": "STE. 100",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814537",
            "telephone_number": "863-299-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115982",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 1st St N",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814537",
            "country_code": "US",
            "telephone_number": "863-299-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5528 US Highway 98 N",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338093104",
            "country_code": "US",
            "telephone_number": "863-853-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "PAULINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pthai@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Marie Terrell, MSW, LCSW
• Markeisha Terrell
• Ronald Shannon Terrell
• Leonides Y. Teves, MD
• Thai Medical Massage
• Darshan B Thakkar, MD
• Deepakkumar Thakkar Sr.
• Nisha Thakkar
• Kenya Ayesha Thames, APRN
• Sabanayagam Thangam, M.D.

• Optometrist in Brandon, FL
• Providers in Brandon, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.