IndividualActive
Chuatong Thao, OD
NPI 1609397116 · Optometrist · Maple Grove, MN
Provider details
- NPI number
- 1609397116
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3526 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11651 Fountains Dr Ste A-104
Maple Grove, MN 55369-7195
Phone: (763) 315-1149
Street-level locationGet directions
Mailing address
11900 Nevada Ave N
Champlin, MN 55316-2217
Registry dates
- Enumerated
- 2017-07-06
- Last updated
- 2017-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.