Individual provider Active NPI

Kristi Liu, O.D.

  • Optometrist
  • Portland, OR
National Provider Identifier
1144466541
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3289ATI Issued in OR
Practice address
9555 SW Barnes Rd Ste 201
Portland, OR 97225-6654
Phone
(503) 227-2020
Fax
(503) 296-9934
NPI assigned
Jan 6, 2009
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3289ATI OR Primary

Addresses

Primary practice location

9555 SW Barnes Rd Ste 201
Portland, OR 97225-6654

Mailing address

PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372

Other practice location 1

6111 NE Cornell Rd
Hillsboro, OR 97124-5410
Phone (503) 227-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20150529002255 OR Practitioner - Optometry 7113248311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

6111 NE Cornell Rd
Hillsboro, OR 97124-5410
Phone (503) 846-9400

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3289ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick J Gregg MD PC CurrentSince Jun 1, 2015 Accepting new patients
Eye Health Northwest, PC CurrentSince Dec 2, 2016 Accepting new patients
Eye Health Northwest P.C. Optometrist CurrentSince Dec 2, 2016 Accepting new patients
Canby Physical Therapy and Sports Medicine, LLC PastSince Jun 1, 2015 Accepting new patients

Locations

160 NW 2nd Ave
Canby, OR 97013
Phone (503) 263-3937

6111 NE Cornell Rd
Hillsboro, OR 97124
Phone (503) 227-2020

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

9555 SW Barnes Rd
Ste 100
Portland, OR 97225
Phone (503) 227-2020

9555 SW Barnes Rd
Ste 201
Portland, OR 97225
Phone (503) 227-2020

Interoperability endpoints

  • Direct secure messaging: kristi.liu@direct.ehnpc.nextgenshare.com

Organizations & group practices 4

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1144466541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256654",
            "telephone_number": "503-227-2020",
            "fax_number": "503-296-9934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6111 NE Cornell Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245410",
            "country_code": "US",
            "telephone_number": "503-227-2020",
            "fax_number": "503-846-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "KRISTI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3289ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.