Individual provider Active NPI

Aimee Liu, OD

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1013371384
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60764993 Issued in WA
Practice address
15600 NE 8TH St Ste F13A
Bellevue, WA 98008-3950
Phone
(425) 641-7482
Fax
(425) 505-2156
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60764993 WA Primary

Addresses

Primary practice location

15600 NE 8TH St Ste F13A
Bellevue, WA 98008-3950

Mailing address

3020 Issaquah Pine Lake Rd SE
521
Sammamish, WA 98075-7253

Other identifiers 1

IdentifierTypeStateIssuer
2089293MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20230727000448 WA Practitioner - Optometry 0941660153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15600 NE 8TH St
Suite F13A
Bellevue, WA 98008-3950
Phone (425) 641-7482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60764993WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adl Vision LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Overlake Eye Designs, P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients

Locations

15600 NE 8th St
Ste F13A
Bellevue, WA 98008
Phone (425) 641-7311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1013371384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ISSAQUAH PINE LAKE RD SE",
            "address_2": "521",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST STE F13A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083950",
            "telephone_number": "425-641-7482",
            "fax_number": "425-505-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "AIMEE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60764993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089293",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.