GARY M LOUIE OD NPI 1033253067
Optometrist in Union City, CA
About GARY M LOUIE OD
Gary Louie is a provider established in Union City, California and his medical specialization is Optometrist. The NPI number of this provider is 1033253067 and was assigned on February 2007. The practitioner's primary taxonomy code is 152W00000X with license number 6732T (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
| NPI | 1033253067 |
| Provider Name | GARY M LOUIE OD |
| Location Address | 34724 ALVARADO NILES RD UNION CITY, CA 94587 |
| Location Phone | (510) 489-5510 |
| Mailing Address | 34724 ALVARADO NILES RD UNION CITY, CA 94587 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 02-15-2007 |
| Last Update Date | 02-07-2012 |
Gary Louie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 152W00000X |
| Classification | Optometrist |
| Type | Eye and Vision Services Providers |
| License No. | 6732T |
| License State | CA |
| Taxonomy Description | Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
34724 ALVARADO NILES RD
UNION CITY, CA
ZIP 94587
Phone: (510) 489-5510
Fax: (510) 489-5658
Mailing Address
34724 ALVARADO NILES RD
UNION CITY, CA
ZIP 94587
Phone: (510) 489-5510
Fax: (510) 489-5658
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 94587 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $69.92 | $206.38 | $156.78 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $17.48 | $51.59 | $39.19 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $22.97 | $169.96 | $86.73 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.74 | $42.49 | $21.68 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| T10400 | MEDICARE UPIN (02) | CA |
| SD0067320 | MEDICAID (05) | CA |
| 0810840001 | MEDICARE NSC (07) | CA |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 2 | 5 | 3 | 0 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 4 | 5 | 6 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 4 + 5 + 6 + 0 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1033253067 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134491012 | GARY M. LOUIE O.D. INC. Organization | Optometrist | 34724 ALVARADO NILES RD UNION CITY, CA 94587 (510) 489-5510 |
| 1275195141 | DR. ANGELA WONG OD Individual | Optometrist | 34724 ALVARADO NILES RD UNION CITY, CA 94587 (510) 489-5510 |
| 1740924000 | DR. ANGELA WONG, INC Organization | Optometrist | 34724 ALVARADO NILES RD UNION CITY, CA 94587 (510) 489-5510 |
Frequently Asked Questions
What is Gary Louie OD NPI number?
The NPI number assigned to this healthcare provider is 1033253067, registered as an "individual" on February 15, 2007
Where is Gary Louie OD located?
The provider is located at 34724 Alvarado Niles Rd Union City, Ca 94587 and the phone number is (510) 489-5510
Which is Gary Louie OD specialty?
The provider's speciality is Optometrist
What insurance does Gary Louie OD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Gary Louie OD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
How much is a visit to Gary Louie OD?
Medicare beneficiaries should expect a typical cost of $156.78 with an average copayment of $39.19 for new patient appointments. Established patients should expect a typical charge of $86.73 and an average copayment of 21.68. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Gary Louie OD was last updated on February 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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