Active NPI
Jewel Liao, MD
- Ophthalmology Physician
- Ventura, CA
National Provider Identifier
1114216249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C171723
- Practice address
- 3114 Telegraph Rd
Ste a
Ventura, CA 93003-3219 - Phone
- (805) 648-6891
- Fax
- (805) 648-6386
- NPI assigned
- Mar 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 268709 | NY | |
| Ophthalmology Physician | 207W00000X | C171723 | CA | Primary |
Addresses
Primary practice location
3114 Telegraph Rd
Ste a
Ventura, CA 93003-3219
Mailing address
3114 Telegraph Rd
Ste a
Ventura, CA 93003-3219
Phone (805) 648-6891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3805 Telegraph Rd
Ventura, CA 93003-3422
Phone (805) 644-9001
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.32 of 100
- Quality
- 97.35
- Improvement activities
- 40
- Cost
- 71.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C171723 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lum Eye and Vision Center a Medical Corporation | Ophthalmology | Current | Accepting new patients |
Locations
3088 Telegraph Rd
Ste A
Ventura, CA 93003
Phone (805) 648-6891
3805 Telegraph Rd
Ventura, CA 93003
Phone (805) 644-9001
3114 Telegraph Rd
Ste A
Ventura, CA 93003
Phone (805) 648-6891
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.
-
- Ophthalmology Physician
- Ventura, CA
- NPI 1861633323
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1114216249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 TELEGRAPH RD",
"address_2": "STE A",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033219",
"telephone_number": "805-648-6891",
"fax_number": "805-648-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 TELEGRAPH RD",
"address_2": "STE A",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033219",
"telephone_number": "805-648-6891",
"fax_number": "805-648-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAO",
"first_name": "JEWEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "268709",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "C171723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.