Active NPI
Louise F. Lee, O.D.
- Optometrist
- Fremont, CA
National Provider Identifier
1336292374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10508T
- Practice address
- 46228 Warm Springs Blvd
Suite 460
Fremont, CA 94539-7967 - Phone
- (510) 668-0877
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10508T | CA | Primary |
Addresses
Primary practice location
46228 Warm Springs Blvd
Suite 460
Fremont, CA 94539-7967
Mailing address
46228 Warm Springs Blvd
Suite 460
Fremont, CA 94539-7967
Phone (510) 668-0877
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140411000652 | CA | Practitioner - Optometry | 5193953289 | Practice locations: Fremont, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10508T | CA | MD | Optometrist |
| 10508 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1336292374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46228 WARM SPRINGS BLVD",
"address_2": "SUITE 460",
"city": "FREMONT",
"state": "CA",
"postal_code": "945397967",
"telephone_number": "510-668-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46228 WARM SPRINGS BLVD",
"address_2": "SUITE 460",
"city": "FREMONT",
"state": "CA",
"postal_code": "945397967",
"telephone_number": "510-668-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LOUISE",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10508T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.