Individual provider Active NPI

Maggie Mei

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1538894902
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4643 Issued in CA
Practice address
1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
Phone
(360) 696-4061
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ATI4643 CA Primary

Addresses

Primary practice location

1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713

Mailing address

2050 NW Raleigh St Apt 363
Portland, OR 97209-2295

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
I20231116001883 CA Practitioner - Optometry 7214384916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI4643CAMDOptometrist
35498CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of California Medical PC CurrentSince Dec 24, 2024 Accepting new patients
Premise Health of California Medical PC CurrentSince Dec 24, 2024 Accepting new patients

Locations

2201 Broadway
Ste 101
Oakland, CA 94612
Phone (510) 473-8700

350 Potrero Ave
Sunnyvale, CA 94085
Phone (602) 245-4231

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1538894902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NW RALEIGH ST APT 363",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 4TH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613713",
            "telephone_number": "360-696-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEI",
        "first_name": "MAGGIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "ATI4643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.