Individual provider Active NPI

Oliver Kuang-Yen Lou, O.D.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1528154002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6085TG Issued in TX
Practice address
2051 Cypress Creek Rd
Ste M
Cedar Park, TX 78613-3624
Phone
(512) 250-1700
Fax
(512) 250-1769
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6085TG TX Primary

Addresses

Primary practice location

2051 Cypress Creek Rd
Ste M
Cedar Park, TX 78613-3624

Mailing address

2051 Cypress Creek Rd
Ste M
Cedar Park, TX 78613-3624
Phone (512) 250-1700

Other identifiers 1

IdentifierTypeStateIssuer
80705QOtherTXBLUE CROSS BLUE SHIELD TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100323000223 TX Practitioner - Optometry 6709911258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Signature Eye Care, P.a.Group PAC ID 0244365799, 7 clinicians

Practice addresses (Care Compare)

2071 Cypress Creek Rd
Cedar Park, TX 78613-3622
Phone (512) 250-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6085TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Eye Care, P.a. Optometrist CurrentSince May 15, 2002 Accepting new patients
Hill Country Counseling Past Accepting new patients
Plano Eye Associates PC Optometrist Past Accepting new patients

Locations

2051 Cypress Creek Rd
Ste M
Cedar Park, TX 78613
Phone (512) 250-1700

2071 Cypress Creek Rd
Cedar Park, TX 78613
Phone (512) 250-1700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24849/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528154002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CYPRESS CREEK RD",
            "address_2": "STE M",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133624",
            "telephone_number": "512-250-1700",
            "fax_number": "512-250-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CYPRESS CREEK RD",
            "address_2": "STE M",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133624",
            "telephone_number": "512-250-1700",
            "fax_number": "512-250-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOU",
        "first_name": "OLIVER",
        "middle_name": "KUANG-YEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6085TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "80705Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.