Individual provider Active NPI

Amber C Louprasong, O.D.

  • Optometrist
  • Hamilton, OH
National Provider Identifier
1295999456
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5801 Issued in OH
Practice address
1750 S Erie Hwy
Hamilton, OH 45011-4118
Phone
(513) 870-9444
Fax
(513) 870-0485
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5801 OH Primary

Addresses

Primary practice location

1750 S Erie Hwy
Hamilton, OH 45011-4118

Mailing address

1750 S Erie Hwy
Hamilton, OH 45011-4118
Phone (513) 870-9777

Other identifiers 1

IdentifierTypeStateIssuer
3121348MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5801OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1295999456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S ERIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450114118",
            "telephone_number": "513-870-9777",
            "fax_number": "513-870-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S ERIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450114118",
            "telephone_number": "513-870-9444",
            "fax_number": "513-870-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUPRASONG",
        "first_name": "AMBER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.