Individual provider Active NPI

Alyssa Louie, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1659892669
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33948 Issued in CA
Practice address
5504 Monterey Hwy
San Jose, CA 95138-1529
Phone
(408) 729-9700
NPI assigned
Jun 29, 2017
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 100408 ID
Optometrist 152W00000X 33948 CA Primary

Addresses

Primary practice location

5504 Monterey Hwy
San Jose, CA 95138-1529

Mailing address

40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040

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
I20181115002490 CA Practitioner - Optometry 4082968789 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33948CAMDChiropractor
100408IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Eye Associates a Medical Corporation CurrentSince Aug 23, 2018 Accepting new patients
Bay Area Community Health CurrentSince Oct 29, 2022 Accepting new patients
Bay Area Community Health CurrentSince Oct 29, 2022 Accepting new patients
North Bay Eye Associates a Medical Corporation CurrentSince Aug 23, 2018 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1310 Prentice Dr
Ste F
Healdsburg, CA 95448
Phone (707) 433-9475

104 Lynch Creek Way
Ste 15
Petaluma, CA 94954
Phone (707) 762-3573

50 Professional Center Dr
Ste 210
Rohnert Park, CA 94928
Phone (707) 588-7946

1066 S White Rd
Ste 170
San Jose, CA 95127

1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250

380 Tesconi Ct
Santa Rosa, CA 95401
Phone (707) 544-3375

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1659892669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40910 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384375",
            "telephone_number": "510-770-8040",
            "fax_number": "510-770-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 MONTEREY HWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381529",
            "telephone_number": "408-729-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100408",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.