Individual
MATTHEW S THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4700 SETON CENTER PKWY STE 150, AUSTIN, TX 78759-5711
(512) 345-3595
(512) 345-7618
Mailing address
4700 SETON CENTER PKWY STE 150, AUSTIN, TX 78759-5711
(512) 345-3595
(512) 345-7618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010492
IL
152W00000X
Optometrist
12681
CA
152W00000X
Optometrist
Primary
6996TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770677908
—
TX
Enumeration date
10/31/2008
Last updated
12/06/2021
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