Individual provider Active NPI

John F Liu, M.D.

  • Ophthalmology Physician
  • Waco, TX
National Provider Identifier
1104886043
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H3796 Issued in TX
Practice address
2400 Ambassador Dr
Waco, TX 76712-9702
Phone
(254) 756-4457
Fax
(254) 756-1718
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H3796 TX
Ophthalmology Physician 207W00000X H3796 TX Primary

Addresses

Primary practice location

2400 Ambassador Dr
Waco, TX 76712-9702

Mailing address

2400 Ambassador Dr
Waco, TX 76712-9702
Phone (254) 756-4457

Other identifiers 1

IdentifierTypeStateIssuer
161488501MedicaidTX

Other names 1

  • Dr. John Frederick Liu Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jliu@wacoeye.intellechartdirect.net Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000319 TX Practitioner - Ophthalmology 4284546672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Eye Associates, PAGroup PAC ID 5193637577, 7 clinicians

Practice addresses (Care Compare)

2400 Ambassador Dr
Waco, TX 76712-9702
Phone (254) 756-4457

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
97.29
Improvement activities
40
Cost
72.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Optical Inc Ophthalmology CurrentSince Oct 24, 1994 Accepting new patients
Waco Eye Associates, PA Specialist CurrentSince Sep 14, 2001 Accepting new patients

Locations

321 Richland West Cir
Waco, TX 76712
Phone (254) 756-4457

2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457

Interoperability endpoints

  • Direct secure messaging: jliu@wacoeye.intellechartdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1104886043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129702",
            "telephone_number": "254-756-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129702",
            "telephone_number": "254-756-4457",
            "fax_number": "254-756-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H3796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H3796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161488501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jliu@wacoeye.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2400 Ambassador Dr",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767129702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LIU",
            "middle_name": "FREDERICK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.