Individual provider Active NPI

Lourdes Silva Said

  • Optometrist
  • La Puente, CA
National Provider Identifier
1902454044
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34382TLG Issued in CA
Practice address
15330 Amar Rd
La Puente, CA 91744-2001
Phone
(626) 961-0432
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34382TLG CA Primary

Addresses

Primary practice location

15330 Amar Rd
La Puente, CA 91744-2001

Mailing address

1303 E Thackery Ave
West Covina, CA 91790-4345

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
I20191106002428 CA Practitioner - Optometry 3375875669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34382TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward P. & Diane M. Hernandez Optometrist Current Accepting new patients
DRS. Edward P. and Diane M. Hernandez, O.D. Optometrist CurrentSince Oct 15, 2019 Accepting new patients

Locations

1235 Buena Vista St
Duarte, CA 91010
Phone (626) 359-8145

15330 Amar Rd
Ste A
La Puente, CA 91744
Phone (626) 961-0432

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": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1902454044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E THACKERY AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15330 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442001",
            "telephone_number": "626-961-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA SAID",
        "first_name": "LOURDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34382TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

Verify at the official NPI Registry.