Provider Demographics
NPI:1710379250
Name:HANG THAI INC
Entity Type:Organization
Organization Name:HANG THAI INC
Other - Org Name:DR. HANG THAI AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:BAO
Authorized Official - Middle Name:
Authorized Official - Last Name:THAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-662-3629
Mailing Address - Street 1:1008 ALGARE LOOP
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6043
Mailing Address - Country:US
Mailing Address - Phone:321-662-3629
Mailing Address - Fax:407-654-5423
Practice Address - Street 1:3119 DANIELS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-7012
Practice Address - Country:US
Practice Address - Phone:407-654-5453
Practice Address - Fax:407-654-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4071152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty