Individual provider Active NPI

Melissa Siu Lowe

  • Optometrist
  • Pleasanton, CA
National Provider Identifier
1508612862
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35697-TLG Issued in CA
Practice address
4299 Rosewood Dr
Pleasanton, CA 94588-3001
Phone
(925) 416-1888
NPI assigned
Apr 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35697-TLG CA Primary

Addresses

Primary practice location

4299 Rosewood Dr
Pleasanton, CA 94588-3001

Mailing address

318 Livingstone CRT NW
Edmonton, ALBERTA T6R2T1
CA

Other practice location 1

14895 E 14th St Ste 340
San Leandro, CA 94578-2927
Phone (510) 481-2121

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
I20241106002959 CA Practitioner - Optometry 8527592047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Wu OD a Professional CorporationGroup PAC ID 6002340650, 2 clinicians

Practice addresses (Care Compare)

15251 E 14TH St
B
San Leandro, CA 94578-1905
Phone (510) 481-2121

4299 Rosewood Dr
Unit 105
Pleasanton, CA 94588-3001
Phone (925) 416-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35697-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Wu, O.D., a Professional Corporation Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Geronimo & Leong, Professional Optometric Corporation Optometrist PastSince Jul 1, 2003 Accepting new patients

Locations

35219 Newark Blvd
Ste B
Newark, CA 94560

4299 Rosewood Dr
Unit 105
Pleasanton, CA 94588
Phone (925) 416-1888

14895 E 14th St
Ste 340
San Leandro, CA 94578
Phone (510) 481-2121

15251 E 14th St
#B
San Leandro, CA 94578
Phone (510) 481-2121

7129 NE Imbrie Dr
Hillsboro, OR 97124
Phone (503) 690-2020

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": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1508612862",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "318 LIVINGSTONE CRT NW",
            "city": "EDMONTON",
            "state": "ALBERTA",
            "postal_code": "T6R2T1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 ROSEWOOD DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883001",
            "telephone_number": "925-416-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14895 E 14th St Ste 340",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945782927",
            "country_code": "US",
            "telephone_number": "510-481-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "MELISSA",
        "middle_name": "SIU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-27",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35697-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.