Individual provider Active NPI

Karen Liu, O.D.

  • Optometrist
  • Southlake, TX
National Provider Identifier
1063641587
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7410TG Issued in TX
Practice address
925 E Southlake Blvd Ste 200
Southlake, TX 76092-1588
Phone
(817) 416-8561
Fax
(817) 416-3661
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7410TG TX Primary

Addresses

Primary practice location

925 E Southlake Blvd Ste 200
Southlake, TX 76092-1588

Mailing address

925 E Southlake Blvd Ste 200
Southlake, TX 76092-1588
Phone (817) 416-8561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101005000917 TX Practitioner - Optometry 6305038613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Vision Consultants PLLCGroup PAC ID 7012403348, 3 clinicians

Practice addresses (Care Compare)

925 E Southlake Blvd
Suite 200
Southlake, TX 76092-1588
Phone (817) 416-8561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7410TXMDChiropractor
7410TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Vision Consultants PLLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

925 E Southlake Blvd
Ste 200
Southlake, TX 76092
Phone (817) 329-1350

1980 E State Highway 114
Southlake, TX 76092
Phone (817) 329-2700

Organizations & group practices 1

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1063641587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E SOUTHLAKE BLVD STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921588",
            "telephone_number": "817-416-8561",
            "fax_number": "817-416-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SOUTHLAKE BLVD STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921588",
            "telephone_number": "817-416-8561",
            "fax_number": "817-416-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KAREN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7410TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.