Active NPI
Joanna L Liu, O.D.
- Optometrist
- Omaha, NE
National Provider Identifier
1063768133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1382
- Practice address
- 11606 Nicholas St
Suite 200
Omaha, NE 68154-4478 - Phone
- (402) 493-3712
- Fax
- (402) 493-8341
- NPI assigned
- Jul 26, 2012
- Last updated
- Jul 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1382 | NE | Primary |
Addresses
Primary practice location
11606 Nicholas St
Suite 200
Omaha, NE 68154-4478
Mailing address
11606 Nicholas St
Suite 200
Omaha, NE 68154-4478
Phone (402) 493-3712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11606 Nicholas St
Suite 200
Omaha, NE 68154-4486
Phone (402) 898-3818
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.65 of 100
- Quality
- 96.95
- Improvement activities
- 40
- Cost
- 76.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1382 | NE | MD | Anesthesiology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1154424307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1063768133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11606 NICHOLAS ST",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544478",
"telephone_number": "402-493-3712",
"fax_number": "402-493-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11606 NICHOLAS ST",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544478",
"telephone_number": "402-493-3712",
"fax_number": "402-493-8341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JOANNA",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.