Provider Demographics
NPI:1497896963
Name:CAI, THU THI (OD)
Entity Type:Individual
Prefix:DR
First Name:THU
Middle Name:THI
Last Name:CAI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 CONNECTICUT BLVD 102
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-3228
Mailing Address - Country:US
Mailing Address - Phone:860-289-4848
Mailing Address - Fax:860-289-3798
Practice Address - Street 1:477 CONNECTICUT BLVD STE 102
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3228
Practice Address - Country:US
Practice Address - Phone:860-289-4848
Practice Address - Fax:860-289-3798
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002515152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT716233OtherCONNECTICARE