Individual provider Active NPI

Mae-Lae Louie, O.D.

  • Optometrist
  • Inglewood, CA
National Provider Identifier
1508824012
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11573T Issued in CA
Practice address
236 N Market St
Inglewood, CA 90301-1217
Phone
(310) 671-2020
Fax
(310) 671-2784
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11573T CA Primary

Addresses

Primary practice location

236 N Market St
Inglewood, CA 90301-1217

Mailing address

236 N Market St
Inglewood, CA 90301-1217
Phone (310) 671-2020

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
I20070508000362 CA Practitioner - Optometry 2163528126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scolinos Optometry IncGroup PAC ID 7315948239, 3 clinicians

Practice addresses (Care Compare)

236 N Market St
Inglewood, CA 90301-1217
Phone (310) 671-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11573TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maelae.louie@uprisedirect.com

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1508824012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N MARKET ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011217",
            "telephone_number": "310-671-2020",
            "fax_number": "310-671-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N MARKET ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011217",
            "telephone_number": "310-671-2020",
            "fax_number": "310-671-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "MAE-LAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11573T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.