Healthcare Provider Details

I. General information

NPI: 1487410114
Provider Name (Legal Business Name): LUI & MAI OPTOMETRY PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4940 IRVINE BLVD STE 102
IRVINE CA
92620-1960
US

IV. Provider business mailing address

4940 IRVINE BLVD STE 102
IRVINE CA
92620-1960
US

V. Phone/Fax

Practice location:
  • Phone: 714-709-9580
  • Fax: 714-730-9517
Mailing address:
  • Phone: 714-709-9580
  • Fax: 714-730-9517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: KAIWA HAWKIN LUI
Title or Position: PARTNER
Credential: OD
Phone: 949-285-2685