Organization Active NPI

Dr Kingman Louie

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1104093715
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6733 Issued in CA
Legal business name
DR KINGMAN LOUIE
Practice address
9098 Laguna Main St
Suite 3
Elk Grove, CA 95758-7449
Phone
(916) 691-2020
Fax
(916) 691-2330
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxanne Muguan Leelouie, O.D.NPI 1598855652
Title
Office Manager
Phone
(916) 691-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6733 CA Primary

Addresses

Primary practice location

9098 Laguna Main St
Suite 3
Elk Grove, CA 95758-7449

Mailing address

9098 Laguna Main St
Suite 3
Elk Grove, CA 95758-7449
Phone (916) 691-2020

National Provider Directory

National Provider Directory
Tax ID family
Dr Kingman Louie2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9098 Laguna Main St
Ste 3
Elk Grove, CA 95758
Phone (916) 691-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1104093715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST",
            "address_2": "SUITE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449",
            "telephone_number": "916-691-2020",
            "fax_number": "916-691-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST",
            "address_2": "SUITE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449",
            "telephone_number": "916-691-2020",
            "fax_number": "916-691-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KINGMAN LOUIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "LEELOUIE",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "MUGUAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-691-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.