Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LOWELL J. BOOTH OPTOMETRIST
Active
Organization
LOWELL J. BOOTH OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANNA LEE (BILLING CLERK)
(714) 838-3210
Entity
Organization
Contact information
Practice address
1102 IRVINE BLVD, TUSTIN, CA 92780-3529
(714) 838-3210
(714) 838-5702
Mailing address
1102 IRVINE BLVD, TUSTIN, CA 92780-3529
(714) 838-3210
(714) 838-5702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-4984-TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0049840
—
CA
Enumeration date
04/26/2007
Last updated
01/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up