Provider Demographics
NPI:1831531524
Name:KAI JING MAI OD PLLC
Entity type:Organization
Organization Name:KAI JING MAI OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAI JING
Authorized Official - Middle Name:
Authorized Official - Last Name:MAI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-874-3088
Mailing Address - Street 1:133-02 41TH AVENUE SUITE B
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-874-3088
Mailing Address - Fax:718-874-2022
Practice Address - Street 1:13302 41ST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5874
Practice Address - Country:US
Practice Address - Phone:718-874-3088
Practice Address - Fax:718-874-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006574152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty