Provider Demographics
NPI:1831381441
Name:THAI, AIRIAN T (OD)
Entity type:Individual
Prefix:DR
First Name:AIRIAN
Middle Name:T
Last Name:THAI
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 1:850 S ATLANTIC BLVD
Mailing Address - Street 2:STE 301
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-6710
Mailing Address - Country:US
Mailing Address - Phone:323-726-6888
Mailing Address - Fax:626-240-1623
Practice Address - Street 1:850 S ATLANTIC BLVD
Practice Address - Street 2:STE 301
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-6710
Practice Address - Country:US
Practice Address - Phone:323-726-6888
Practice Address - Fax:626-240-1623
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12654T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist