Individual provider Active NPI

Loi Thanh Mai, O.D.

  • Optometrist
  • Bellflower, CA
National Provider Identifier
1902353238
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34111 Issued in CA
Practice address
16106 Bellflower Blvd
Bellflower, CA 90706-4606
Phone
(562) 867-4716
Fax
(714) 716-5525
NPI assigned
Sep 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34111 CA Primary
Optometrist 152W00000X 894 NV

Addresses

Primary practice location

16106 Bellflower Blvd
Bellflower, CA 90706-4606

Mailing address

16106 Bellflower Blvd
Bellflower, CA 90706-4606
Phone (714) 724-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161128001129 NV Practitioner - Optometry 4587943022 Reassigns benefits to 2 organizations
I20190409002476 CA Practitioner - Optometry 4587943022 Reassigns benefits to 1 organization
Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16106 Bellflower Blvd
Bellflower, CA 90706-4606
Phone (562) 867-4716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34111CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Oct 11, 2016 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Oct 11, 2016 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Oct 11, 2016 Accepting new patients
Loi Thanh Mai OD Inc Optometrist CurrentSince Dec 4, 2024 Accepting new patients
Main Street Optometry Optometrist Past Accepting new patients

Locations

16106 Bellflower Blvd
Bellflower, CA 90706
Phone (562) 867-4716

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

Organizations & group practices 6

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1902353238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16106 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064606",
            "telephone_number": "714-724-1540",
            "fax_number": "714-716-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16106 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064606",
            "telephone_number": "562-867-4716",
            "fax_number": "714-716-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "LOI",
        "middle_name": "THANH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34111",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.