Active NPI
Tedd Louie, OD
- Optometrist
- Lacey, WA
National Provider Identifier
1780729442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3186
- Practice address
- 1470 Marvin Rd NE
Lacey, WA 98516-3870 - Phone
- (360) 412-3492
- Fax
- (360) 412-3493
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3186 | WA | Primary |
Addresses
Primary practice location
1470 Marvin Rd NE
Lacey, WA 98516-3870
Mailing address
1470 Marvin Road NE
Lacey, WA 98516-3870
Phone (360) 412-3492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3186 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1780729442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 MARVIN ROAD NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985163870",
"telephone_number": "360-412-3492",
"fax_number": "360-412-3493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 MARVIN RD NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985163870",
"telephone_number": "360-412-3492",
"fax_number": "360-412-3493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIE",
"first_name": "TEDD",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.