Active NPIIndividual provider

Kathleen Thai, OD

Optometrist in Stoneham, Massachusetts

NPI Number1083463004
Practice location
1 Montvale Ave Ste 204, Stoneham, MA 02180-3559
Fax
—
Last updated
April 15, 2026

Kathleen Thai is an Optometrist based in Stoneham, MA. Kathleen Thai practices in Stoneham, MA and has the professional credentials of OD. The NPI Number for Kathleen Thai is 1083463004 and holds a License No. OPT5711 (MA). The current practice location address for Kathleen Thai is 1 Montvale Ave Ste 204, Stoneham, MA 02180-3559 and can be reached out via phone at 781-279-4418.

Provider Profile Details

NPI Number
1083463004
Provider Name
Kathleen Thai
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
1 Montvale Ave Ste 204, Stoneham, MA 02180-3559
Phone Number
781-279-4418
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
May 13, 2024
Last Update Date
April 15, 2026
Certification Date
April 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Montvale Ave Ste 204
Stoneham, MA 02180-3559
Zip
02180-3559
Phone Number
781-279-4418
Stoneham, MA 02180Get directions →

Provider Business Mailing Address Details

Address
1 Montvale Ave Ste 501
Stoneham, MA 02180-3567
City
Stoneham
State
MA
Zip
02180-3567
Phone Number
781-279-4418

License Information

License Number
OPT5711
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen Thai, OD?

The NPI number of Kathleen Thai, OD is 1083463004. It was assigned on May 13, 2024 and is currently active in the NPPES registry.

What is the specialty of Kathleen Thai, OD?

Kathleen Thai, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number OPT5711.

Where does Kathleen Thai, OD practice?

The practice location is 1 Montvale Ave Ste 204, Stoneham, MA 02180-3559. The office can be reached at 781-279-4418 (phone).

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 1083463004 directly on the NPPES registry website.

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