Jeannette Lucille Liu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001093 Issued in VA

Practice address

6701 Loisdale Rd
Suite S
Springfield, VA 22150-1902

Phone

(703) 719-5455

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083797666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 SLOWAY COAST DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792789",
            "telephone_number": "703-495-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 LOISDALE RD",
            "address_2": "SUITE S",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501902",
            "telephone_number": "703-719-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JEANNETTE",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Wei-Hsin Lin, M.D.
• Joanne Christine Lindenberger, PHD
• David Alfred Lindsey, DENTIST
• Steven Ellis Lipson, D.P.M.
• Meron Getaneh Lisanework
• Christian Noelle Liuzza, PHARMD
• Mark D. Livaditis, O.D.
• Nora L. Locke, LCSW
• Amel Logan, LPC
• Erin C Stabeck Long

• Optometrist in Springfield, VA
• Providers in Springfield, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.