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NPI Code Detail

MEDICARE: DR. HANG THAI O.D.

MEDICARE: DR. HANG THAI O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPC 4071FL

General Provider Information

NPI Number : 1508808809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANG THAI O.D.
Provider Business Mailing Address
First Line : 4716 COMPASS DR
Second Line :
City : BRADENTON
State : FL
Zip : 34208-8493
Country : US
Telephone Number : 321-662-6573
Fax Number :
Provider Business Practice Location Address
First Line : 5632 26TH ST W
Second Line :
City : BRADENTON
State : FL
Zip : 34207-3515
Country : US
Telephone Number : 941-751-4668
Fax Number : 941-751-4809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 08/19/2025

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Directions to “ DR. HANG THAI O.D.” Practice Location

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