Individual provider Active NPI

Winnie Lei, O.D.

  • Optometrist
  • Cameron Park, CA
National Provider Identifier
1114009792
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11913 Issued in CA
Practice address
3420 Coach LN
Suite 1
Cameron Park, CA 95682-8448
Phone
(530) 677-8809
Fax
(530) 677-7570
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11913 CA Primary

Addresses

Primary practice location

3420 Coach LN
Suite 1
Cameron Park, CA 95682-8448

Mailing address

3420 Coach LN
Suite #1
Cameron Park, CA 95682-8448
Phone (530) 677-8809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000501 CA Practitioner - Optometry 5092865816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3420 Coach LN
Suite 1
Cameron Park, CA 95682-8406
Phone (530) 677-8809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11913CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Winnie Lei, OD, Inc Optometrist CurrentSince May 10, 2011 Accepting new patients
Cameron Park Eyecare PastSince Apr 1, 2009 Accepting new patients
Lewis S Bliss MD Past Accepting new patients

Locations

3420 Coach Ln
Ste 1
Cameron Park, CA 95682
Phone (530) 677-8809

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1114009792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 COACH LN",
            "address_2": "SUITE #1",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828448",
            "telephone_number": "530-677-8809",
            "fax_number": "530-677-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 COACH LN",
            "address_2": "SUITE 1",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828448",
            "telephone_number": "530-677-8809",
            "fax_number": "530-677-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEI",
        "first_name": "WINNIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

Verify at the official NPI Registry.