Irene P Lou, OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

14734 TLG Issued in CA

Legal business name

IRENE P LOU, OD INC

Practice address

4001 Hallmark Pkwy
San Bernardino, CA 92407-1876

Phone

(909) 887-1881

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Irene Lou, OD

Title

President, Optometrist

Phone

(909) 557-5074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1700272895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20468 CROOKED BRANCH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 HALLMARK PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071876",
            "telephone_number": "909-887-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE P LOU, OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "LOU",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT, OPTOMETRIST",
        "authorized_official_telephone_number": "909-557-5074",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14734 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.