Individual provider Active NPI

Roxanne Muguan Lee-Louie, O.D.

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1598855652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6492 Issued in CA
Practice address
9098 Laguna Main St
Suite 3
Elk Grove, CA 95758-7449
Phone
(916) 691-2020
Fax
(916) 691-2330
NPI assigned
Oct 12, 2006
Sex
Female
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 6492 CA Primary

Addresses

Primary practice location

9098 Laguna Main St
Suite 3
Elk Grove, CA 95758-7449

Mailing address

9 Cobblelake CT
Sacramento, CA 95831-4319
Phone (916) 392-8524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6492CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kingman Louie Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598855652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COBBLELAKE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958314319",
            "telephone_number": "916-392-8524",
            "fax_number": "916-392-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST",
            "address_2": "SUITE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449",
            "telephone_number": "916-691-2020",
            "fax_number": "916-691-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-LOUIE",
        "first_name": "ROXANNE",
        "middle_name": "MUGUAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.