KATHLEEN THAI OD
NPI 1083463004
Optometrist in Stoneham, MA

Q: What is Kathleen Thai's NPI number?

The NPI number for Kathleen Thai is 1083463004. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Kathleen Thai's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Thai was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment

1 MONTVALE AVE STE 204, STONEHAM, MA 02180(781) 279-4418 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Sep 8, 2025, May 13, 2024 (3 updates tracked since 2024).

On this page

About Kathleen Thai Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN THAI OD (NPI 1083463004) is an individual optometrist in Stoneham, Massachusetts, licensed in Massachusetts (OPT5711) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Massachusetts Eye And Ear Infirmary -, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083463004

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKATHLEEN THAICredential: OD

Location Address1 MONTVALE AVE STE 204Stoneham, MA 02180-3559

Mailing Address1 Montvale Ave Ste 501Stoneham, MA 02180-3567 · (781) 279-4418

Phone(781) 279-4418

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2024

Enumeration DateMay 13, 2024

Last NPPES UpdateApril 15, 20263 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1083463004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MA · OPT5711

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1 MONTVALE AVE STE 204, Stoneham, MA 02180

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Secondary Practice Locations 2

Location 1243 Charles StBoston, MA 02114-3002 · Phone (617) 573-3185

Location 2300 Ocean Ave Ste 1Revere, MA 02151-3675 · Phone (781) 485-6140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Thai Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981130259

PECOS Enrollment IDI20241210002257

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220075

Location243 Charles StreetBoston, MA 02114 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Thai's NPI number?

The NPI number for Kathleen Thai is 1083463004. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Kathleen Thai located?

Kathleen Thai practices at 1 Montvale Ave Ste 204, Stoneham, MA 02180. The listed phone number is (781) 279-4418.

What is Kathleen Thai's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kathleen Thai enrolled in Medicare?

Yes. Kathleen Thai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Thai accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kathleen Thai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Thai affiliated with any hospitals?

According to CMS data, Kathleen Thai is affiliated with Massachusetts Eye And Ear Infirmary -.

When was this NPI record last updated?

The NPPES record for Kathleen Thai was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.