Dr. Mai Chu, OD
Optometrist in Southborough, Massachusetts
1063643963- Practice location
- 24 Newton St, Southborough, MA 01772-1215
- Phone
- 084-603-1505
- Fax
- 508-460-3061
- Last updated
- January 30, 2025
Mai Chu is an Optometrist based in Southborough, MA. Mai Chu practices in Southborough, MA and has the professional credentials of OD. The NPI Number for Mai Chu is 1063643963 and holds a License No. 046011521 (IL). The current practice location address for Mai Chu is 24 Newton St, Southborough, MA 01772-1215 and can be reached out via phone at 084-603-1505 and via fax at 508-460-3061.
Provider Profile Details
- NPI Number
- 1063643963
- Provider Name
- Mai Chu
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 24 Newton St, Southborough, MA 01772-1215
- Phone Number
- 084-603-1505
- Fax Number
- 508-460-3061
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Other Names
- Mai Chu (Former Name)
- Provider Enumeration Date
- July 27, 2009
- Last Update Date
- January 30, 2025
- Certification Date
- January 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Newton St
Southborough, MA 01772-1215 - City
- Southborough
- State
- Massachusetts
- Zip
- 01772-1215
- Phone Number
- 084-603-1505
- Fax Number
- 508-460-3061
Provider Business Mailing Address Details
- Address
- 24 Newton St
Southborough, MA 01772-1215 - City
- Southborough
- State
- MA
- Zip
- 01772-1215
- Phone Number
- 084-603-1505
- Fax Number
- 508-460-3061
License Information
- License Number (1)
- 046011521
- License State (1)
- IL
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- OTP4768
- License State (2)
- MA
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Southborough, MA
View all Optometrists in Southborough →Frequently Asked Questions
What is the NPI number of Dr. Mai Chu, OD?
The NPI number of Dr. Mai Chu, OD is 1063643963. It was assigned on July 27, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Mai Chu, OD?
Dr. Mai Chu, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in IL under license number 046011521.
Where does Dr. Mai Chu, OD practice?
The practice location is 24 Newton St, Southborough, MA 01772-1215. The office can be reached at 084-603-1505 (phone) or 508-460-3061 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063643963 directly on the NPPES registry website.