Individual provider Active NPI

Minjung Yi Lew, O.D.

  • Optometrist
  • San Mateo, CA
National Provider Identifier
1639264179
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12833T Issued in CA
Practice address
1100 Park PL Ste 10
San Mateo, CA 94403-7106
Phone
(650) 212-2338
Fax
(650) 268-8639
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12833T CA Primary

Addresses

Primary practice location

1100 Park PL Ste 10
San Mateo, CA 94403-7106

Mailing address

1100 Park PL
Ste 10
San Mateo, CA 94403-7106
Phone (650) 638-1226

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
I20060203000527 CA Practitioner - Optometry 6103830674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lew and Liao a Professional Optometric Corp.Group PAC ID 4981854148, 2 clinicians

Practice addresses (Care Compare)

1100 Park Place
Suite 10
San Mateo, CA 94403-7106
Phone (650) 212-2338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12833TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lew and Liao a Professional Optometric Corp. Optometrist CurrentSince Jul 21, 2012 Accepting new patients

Locations

1100 Park Pl
Ste 10
San Mateo, CA 94403
Phone (650) 212-2338

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1639264179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PARK PL",
            "address_2": "STE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944037106",
            "telephone_number": "650-638-1226",
            "fax_number": "650-638-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARK PL STE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944037106",
            "telephone_number": "650-212-2338",
            "fax_number": "650-268-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "MINJUNG",
        "middle_name": "YI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12833T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.