MAI TANG OD, INC
NPI 1316206550
Optometrist in Fullerton, CA
About Mai Tang Od, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAI TANG OD, INC (NPI 1316206550) is a healthcare organization registered as an optometrist in Fullerton, California and active in the NPI registry since May 2012. The organization lists Mai Tang, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mai Tang Od, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mai Tang Od, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mai Tang Od, Inc's NPI number?
The NPI number for Mai Tang Od, Inc is 1316206550. It was assigned to this organization in the NPPES registry on May 9, 2012.
Where is Mai Tang Od, Inc located?
Mai Tang Od, Inc is located at 1893 W Malvern Ave, Fullerton, CA 92833. The listed phone number is (714) 924-2552.
What is Mai Tang Od, Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mai Tang Od, Inc enrolled in Medicare?
Yes. Mai Tang Od, Inc is registered in the Medicare PECOS enrollment system.
When is Mai Tang Od, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mai Tang Od, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Mai Tang Od, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mai Tang Od, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Mai Tang Od, Inc 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.
When was this NPI record last updated?
The NPPES record for Mai Tang Od, Inc was last updated on October 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Mai Tang Od, Inc · NPI 1316206550
Optometrist organization in Fullerton, California. Organization record, active in the CMS NPPES registry since May 9, 2012.
## Identity
- **NPI:** 1316206550 (Entity type: Organization)
- **Enumerated:** May 9, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Mai Tang, PRESIDENT
## Practice location
- **Address:** 1893 W MALVERN AVE, Fullerton, CA 92833-2403
- **Phone:** (714) 924-2552 · **Fax:** (714) 278-9075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2013
- **Other identifiers:** Medicare UPIN U93942 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316206550) · Data from the CMS NPPES public registry.