NPIMap

Organization Active NPI

Teresa J Lui OD Inc

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1962761106
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7722 Issued in CA
Legal business name
TERESA J LUI OD INC
Practice address
616 Ramona St
Suite 2
Palo Alto, CA 94301-2577
Phone
(650) 321-9525
Fax
(866) 805-6069
NPI assigned
May 9, 2012
Last updated
Nov 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Teresa Jane Lui, ODNPI 1306828454
Title
President
Phone
(650) 321-9525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7722 CA Primary

Addresses

Primary practice location

616 Ramona St
Suite 2
Palo Alto, CA 94301-2577

Mailing address

616 Ramona St
Suite 2
Palo Alto, CA 94301-2577
Phone (650) 321-9525

Other identifiers 1

IdentifierTypeStateIssuer
SD0077220OtherCAPTAN

National Provider Directory

National Provider Directory

Locations

616 Ramona St
Palo Alto, CA 94301
Phone (650) 321-9525

616 Ramona St
Ste 2
Palo Alto, CA 94301
Phone (650) 321-9525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1962761106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 RAMONA ST",
            "address_2": "SUITE 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012577",
            "telephone_number": "650-321-9525",
            "fax_number": "866-805-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 RAMONA ST",
            "address_2": "SUITE 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012577",
            "telephone_number": "650-321-9525",
            "fax_number": "866-805-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA J LUI OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "LUI",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-321-9525",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "SD0077220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.