Individual provider Active NPI

Eileen NG, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1114156684
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13771 Issued in CA
Practice address
9820 Brimhall Rd
Bakersfield, CA 93312-2787
Phone
(661) 213-3000
Fax
(661) 213-3101
NPI assigned
Jul 6, 2009
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13771 CA Primary

Addresses

Primary practice location

9820 Brimhall Rd
Bakersfield, CA 93312-2787

Mailing address

9820 Brimhall Rd
Bakersfield, CA 93312-2787
Phone (661) 213-3000

Other identifiers 1

IdentifierTypeStateIssuer
1114156684MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110826000363 CA Practitioner - Optometry 3678743820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Un of California, Irvine, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Li and Liao Optometry PCGroup PAC ID 0345253993, 5 clinicians

Practice addresses (Care Compare)

9820 Brimhall Rd
Bakersfield, CA 93312-2787
Phone (661) 213-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Li & Liao Optometry PC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Li & Liao Optometry PC Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

1002 Wible Rd
Ste I
Bakersfield, CA 93304
Phone (661) 835-1104

9820 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 213-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1465862400000",
    "number": "1114156684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122787",
            "telephone_number": "661-213-3000",
            "fax_number": "661-213-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 BRIMHALL RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122787",
            "telephone_number": "661-213-3000",
            "fax_number": "661-213-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "EILEEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114156684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.