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AMANDA THAI OD
NPI 1457928558
Optometrist in San Diego, CA

Active since June 07, 2021PECOS Enrolled
4240 KEARNY MESA RD STE 101, SAN DIEGO, CA 92111(858) 565-1001(858) 565-1004 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Sep 18, 2025, Jul 22, 2021 and 1 more (4 updates tracked since 2021).

About Amanda Thai Od NPPES

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

AMANDA THAI OD (NPI 1457928558) is an individual optometrist in San Diego, California, licensed in California (34861) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457928558
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAMANDA THAICredential: OD
Location Address4240 KEARNY MESA RD STE 101San Diego, CA 92111-3769
Mailing Address4240 Kearny Mesa Rd Ste 101San Diego, CA 92111-3769 · (858) 565-1001 · Fax (858) 565-1004
Phone(858) 565-1001
Fax(858) 565-1004
Sole ProprietorYes
Enumeration DateJune 7, 2021
Last NPPES UpdateNovember 26, 20254 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1457928558 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 CA · 34861
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.
4240 KEARNY MESA RD STE 101, San Diego, CA 92111
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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 (PECOS)

Amanda Thai Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 Amanda Thai's NPI number?

The NPI number for Amanda Thai is 1457928558. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Amanda Thai located?

Amanda Thai practices at 4240 Kearny Mesa Rd Ste 101, San Diego, CA 92111. The listed phone number is (858) 565-1001.

What is Amanda Thai's specialty?

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

Is Amanda Thai enrolled in Medicare?

Yes. Amanda Thai is registered in the Medicare PECOS enrollment system.

What insurance does Amanda 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 Amanda 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.

When was this NPI record last updated?

The NPPES record for Amanda Thai was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.