Individual provider Active NPI

Courtney N Louie, OD

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1750971248
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34737 Issued in CA
Practice address
9098 Laguna Main St Ste 3
Elk Grove, CA 95758-7449
Phone
(916) 691-2020
Fax
(916) 691-2330
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34737 CA Primary

Addresses

Primary practice location

9098 Laguna Main St Ste 3
Elk Grove, CA 95758-7449

Mailing address

9098 Laguna Main St Ste 3
Elk Grove, CA 95758-7449
Phone (916) 691-2020

Other practice location 1

7215 Florin Mall Dr
Sacramento, CA 95823-2701
Phone (916) 421-3500

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
I20210312000429 CA Practitioner - Optometry 5698181832 Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr, Kingman Louie Optometrist Past Accepting new patients
Dr Kingman Louie Optometrist PastSince Jan 24, 2021 Accepting new patients

Organizations & group practices 2

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1750971248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST STE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449",
            "telephone_number": "916-691-2020",
            "fax_number": "916-691-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST STE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449",
            "telephone_number": "916-691-2020",
            "fax_number": "916-691-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7215 Florin Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232701",
            "country_code": "US",
            "telephone_number": "916-421-3500",
            "fax_number": "916-421-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "COURTNEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.