Genna Lo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61117873 Issued in WA

Practice address

16708 Bothell Everett Hwy Ste 103
Mill Creek, WA 98012-6345

Phone

(425) 481-4440

Fax

(425) 481-4450

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Steven a. Davis. O.D., P.S.

  • Optometrist
  • Mill Creek, WA
  • NPI 1427242981
  Medicare reassignment NPD
• Mill Creek Family Eyewear

  • Optometrist
  • Mill Creek, WA
  • NPI 1922633270
  NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1184398349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY STE 103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-481-4440",
            "fax_number": "425-481-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY STE 103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-481-4440",
            "fax_number": "425-481-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "GENNA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61117873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Cirtaut DDS PS
• Linda Smith Consulting, PLLC
• Lindsay Kraemer, PLLC
• Tammy Gayle Lipke, DNP, FNP-C, PMHNP-BC
• Ethan Jay Livingston
• Maya Lofton, ND, LMT
• Andrew Loisel, OD
• Rebecca Danielle Long, LMP
• Lisa Tatum Lopez, MA, LMHC, CMHS
• Alan D Lott, P.T.

• Optometrist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.