MISS LOURICE BOUTROS OD
NPI 1083109904
Optometrist in Pasadena, CA
About Miss Lourice Boutros Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS LOURICE BOUTROS OD (NPI 1083109904) is an individual optometrist in Pasadena, California, licensed in California (33939TLG) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern California College Of Optometry (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miss Lourice Boutros Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lourice Boutros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pasadena, CA 91107
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lourice Boutros's NPI number?
The NPI number for Lourice Boutros is 1083109904. It was assigned to this individual provider in the NPPES registry on June 22, 2018.
Where is Lourice Boutros located?
Lourice Boutros practices at 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107. The listed phone number is (626) 765-6634.
What is Lourice Boutros's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lourice Boutros enrolled in Medicare?
Yes. Lourice Boutros is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lourice Boutros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lourice Boutros reassigns Medicare benefits to See Clear Optometry A Professional Corporation (Pasadena, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lourice Boutros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lourice Boutros accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Providence Health Plan list Lourice Boutros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lourice Boutros was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Miss Lourice Boutros, OD · NPI 1083109904
Optometrist provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since June 22, 2018.
## Identity
- **NPI:** 1083109904 (Entity type: Individual)
- **Enumerated:** June 22, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 33939TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3235 E COLORADO BLVD STE 101, Pasadena, CA 91107
- **Phone:** (626) 765-6634
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** See Clear Optometry A Professional Corporation (NPI 1679117196, Pasadena, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2017
## Record status
- **NPPES last updated:** October 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1083109904) · Data from the CMS NPPES public registry.