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NPI Code Detail

MEDICARE: DR. AUDREY V LOUIE O.D.

MEDICARE: DR. AUDREY V LOUIE O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist13487TCA

General Provider Information

NPI Number : 1548405335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUDREY V LOUIE O.D.
Provider Business Mailing Address
First Line : 37524 MARSTEN DR
Second Line :
City : NEWARK
State : CA
Zip : 94560-3699
Country : US
Telephone Number : 510-494-9184
Fax Number :
Provider Business Practice Location Address
First Line : 495 CASTRO ST
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94041-2086
Country : US
Telephone Number : 650-967-6649
Fax Number : 650-967-0237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2008
Last Update Date : 12/08/2008

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