Individual provider Active NPI

Audrey V Louie, O.D.

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1548405335
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13487T Issued in CA
Practice address
495 Castro St
Mountain View, CA 94041-2086
Phone
(650) 967-6649
Fax
(650) 967-0237
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13487T CA Primary

Addresses

Primary practice location

495 Castro St
Mountain View, CA 94041-2086

Mailing address

37524 Marsten Dr
Newark, CA 94560-3699
Phone (510) 494-9184

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
I20090122000052 CA Practitioner - Optometry 1850455718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Un of California, Irvine, College of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

495 Castro St
Suite 200
Mountain View, CA 94041-2086
Phone (650) 967-6649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13487TCAMDOptometrist
13487CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Optometry and Contact Lens Clinic Optometrist CurrentSince Dec 15, 2008 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jan 25, 2023 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jan 25, 2023 Accepting new patients

Locations

495 Castro St
Ste 200
Mountain View, CA 94041
Phone (650) 967-6649

495 Castro St
Mountain View, CA 94041
Phone (650) 957-6649

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1548405335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37524 MARSTEN DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603699",
            "telephone_number": "510-494-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "AUDREY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13487T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.