Doctor profile · Federal record
Dr. Lourice Boutros, OD
Optometrist (CMS: Optometry) · Pasadena, CA
- NPI 1083109904
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
3235 E Colorado Blvd Ste 101
Pasadena, CA 91107
(626) 765-6634 - Additional location
-
2771 Rowena Ave
Los Angeles, CA 900392720
(323) 664-1996 - Additional location
-
477 E Colorado Blvd
Pasadena, CA 911012024
(626) 588-2020
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Profile last updated
- October 29, 2019
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- California #33939TLG
- Medicaid
- CA #NONE
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083109904. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
49
Distinct HCPCS
3
Medicare allowed
$4,504
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92250 |
Photography of the retina | 22 | 19 | $42 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $98 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $177 |
In context: peer comparison
Among 8 peers in Pasadena Optometrist, average services per provider: 48. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$125
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sun Pharmaceutical Industries INC. | 1 | $125.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
28
Patients
0
Total drug cost
$9,019
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Azelastine Hcl | Generic | 16 | 0 | $513 |
| Restasis (Cyclosporine) | Brand | 12 | 0 | $8,506 |
Frequently asked questions
What is Dr. Lourice Boutros's medical specialty?
Dr. Lourice Boutros practices Optometrist in Pasadena, CA.
Where does Dr. Lourice Boutros practice?
Dr. Lourice Boutros practices at 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107. Office phone: 6267656634.
What is Dr. Lourice Boutros's NPI?
Dr. Lourice Boutros's National Provider Identifier (NPI) is 1083109904, issued by NPPES.
Does Dr. Lourice Boutros accept Medicare assignment?
Yes. Dr. Lourice Boutros accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lourice Boutros commonly perform?
Top Medicare-reported procedures in 2023: Photography of the retina (HCPCS 92250); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.