Lowell J. Booth Optometrist

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-4984-TPL Issued in CA

Legal business name

LOWELL J. BOOTH OPTOMETRIST

Practice address

1102 Irvine Blvd
Tustin, CA 92780-3529

Phone

(714) 838-3210

Fax

(714) 838-5702

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Johanna Lee

Title

Billing Clerk

Phone

(714) 838-3210

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1306066006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803529",
            "telephone_number": "714-838-3210",
            "fax_number": "714-838-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803529",
            "telephone_number": "714-838-3210",
            "fax_number": "714-838-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL J. BOOTH OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "714-838-3210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT-4984-TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0049840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Lounsbury
• Venita Lovelace-Chandler, PHD, PT, PCS
• Loving Touch Hospice and Palliative Care Incorporated
• Mervin Low, MD
• Yali Wu Lowe, PHARMD
• Ariadna Iveth Lozada Munoz, RN
• Yolanda Gabriela Lozano, DDS
• Albert Lu
• Jessica Ann Lu, LCSW
• Jonathan Fan Lu, FNP-C

• Optometrist in Tustin, CA
• Providers in Tustin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.