Individual provider Active NPI

Irene Mae Lui, OD

  • Optometrist
  • Hoboken, NJ
National Provider Identifier
1700975851
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006794 Issued in NY
Practice address
44 Newark St
Hoboken, NJ 07030-5611
Phone
(201) 683-4228
Fax
(201) 683-4230
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006794 NY Primary
Optometrist 152W00000X 27OA00606900 NJ
Optometrist 152W00000X 27OA00606901 NJ

Addresses

Primary practice location

44 Newark St
Hoboken, NJ 07030-5611

Mailing address

44 Newark St
Hoboken, NJ 07030-5611
Phone (201) 683-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090203000724 NJ Practitioner - Optometry 4385740182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00606900NJMDOptometrist
27OA00606901NJMDOptometrist
TUV006794NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Shoppe of Hoboken PC Optometrist CurrentSince Dec 29, 2008 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": "1378857600000",
    "number": "1700975851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 NEWARK ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305611",
            "telephone_number": "201-683-4228",
            "fax_number": "201-683-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 NEWARK ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305611",
            "telephone_number": "201-683-4228",
            "fax_number": "201-683-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUI",
        "first_name": "IRENE",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006794",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00606900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00606901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.