Individual provider Active NPI

Andrew Lei, O.D.

  • Optometrist
  • Alhambra, CA
National Provider Identifier
1477906204
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33499-TLG Issued in CA
Practice address
109 E Alhambra Rd
Alhambra, CA 91801-2431
Phone
(626) 320-4063
NPI assigned
Jul 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33499-TLG CA Primary

Addresses

Primary practice location

109 E Alhambra Rd
Alhambra, CA 91801-2431

Mailing address

109 E Alhambra Rd
Alhambra, CA 91801-2431
Phone (626) 320-4063

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
I20161117001839 CA Practitioner - Optometry 7012296841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33499CAMDClinical Psychologist
OPT33499-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Sep 27, 2016 Accepting new patients

Locations

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

Organizations & group practices 2

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": "1468713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468713600000",
    "number": "1477906204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E ALHAMBRA RD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918012431",
            "telephone_number": "626-320-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E ALHAMBRA RD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918012431",
            "telephone_number": "626-320-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEI",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33499-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.