Phyllis A Liu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002161 Issued in CT

Practice address

264 Amity Rd Ste 212
Woodbridge, CT 06525-2200

Phone

(203) 387-0038

Fax

(203) 387-0510

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raffaele Inc

  • Eyewear Supplier
  • Hamden, CT
  • NPI 1346365145
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003996554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 AMITY RD STE 212",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252200",
            "telephone_number": "203-387-0038",
            "fax_number": "203-387-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 AMITY RD STE 212",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252200",
            "telephone_number": "203-387-0038",
            "fax_number": "203-387-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "PHYLLIS",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim C Leoni, M.S., L.P.C.
• Christopher M. Lesieur
• Sarah Lewis-Stowe, LCSW
• Julian Lieb, MD
• Lincare Inc
• Live Well Home Care LLC
• Heidi Lee Lively, L.C.S.W.
• Jamie Marie Loehfelm, LPC
• Sofia Ashley Loran, PMHNP-BC
• Kate Lorenzoni, LCSW

• Optometrist in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.