Organization Active NPI

Winnie Lei, OD, Inc

  • Optometrist
  • Cameron Park, CA
National Provider Identifier
1619253895
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11913T Issued in CA
Legal business name
WINNIE LEI, OD, INC
Practice address
3420 Coach Lane
Ste 1
Cameron Park, CA 95682-8406
Phone
(530) 677-8809
Fax
(530) 677-7570
NPI assigned
Nov 1, 2011
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Winnie Lei, O.D.NPI 1114009792
Title
Ceo
Phone
(530) 677-8809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11913T CA Primary

Addresses

Primary practice location

3420 Coach Lane
Ste 1
Cameron Park, CA 95682-8406

Mailing address

3420 Coach Lane
Ste 1
Cameron Park, CA 95682-8406
Phone (530) 677-8809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000783 CA Part B Supplier - Clinic/Group Practice 2961678644 Receives reassigned benefits from 1 practitioner
Practice locations: Cameron Park, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1619253895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 COACH LANE",
            "address_2": "STE 1",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828406",
            "telephone_number": "530-677-8809",
            "fax_number": "530-677-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 COACH LANE",
            "address_2": "STE 1",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828406",
            "telephone_number": "530-677-8809",
            "fax_number": "530-677-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNIE LEI, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "LEI",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-677-8809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11913T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.