Individual provider Active NPI

Dawson To-Sang Li, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1114998622
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11173 T Issued in CA
Practice address
1002 Wible Rd
Suite I
Bakersfield, CA 93304-4137
Phone
(661) 835-1104
Fax
(661) 835-8644
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11173 T CA Primary

Addresses

Primary practice location

1002 Wible Rd
Suite I
Bakersfield, CA 93304-4137

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
SD0111730MedicaidCA

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
I20040506001734 CA Practitioner - Optometry 1355330275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1999
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)

1002 Wible Rd I
Bakersfield, CA 93304-4138
Phone (661) 835-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11173 TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Li & Liao Optometry PC Optometrist CurrentSince Sep 11, 2013 Accepting new patients
Li & Liao Optometry PC Optometrist CurrentSince Jun 1, 2005 Accepting new patients

Locations

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114998622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WIBLE RD.",
            "address_2": "SUITE I",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93304",
            "telephone_number": "661-835-1104",
            "fax_number": "661-835-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WIBLE RD",
            "address_2": "SUITE I",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044137",
            "telephone_number": "661-835-1104",
            "fax_number": "661-835-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "DAWSON",
        "middle_name": "TO-SANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11173 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0111730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.