Active NPI
Courtney Shuiying Liang, OD
- Optometrist
- Flushing, NY
National Provider Identifier
1164103255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009902
- Practice address
- 13172 40TH Rd
Flushing, NY 11354-5137 - Phone
- (718) 886-1287
- Fax
- (718) 886-3903
- NPI assigned
- Jul 31, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009902 | NY | Primary |
Addresses
Primary practice location
13172 40TH Rd
Flushing, NY 11354-5137
Mailing address
125 Walker St
New York, NY 10013-4135
Phone (212) 226-8866
Other practice location 1
79 Middleville Rd
Northport, NY 11768-2200
Phone (631) 261-4400
Other practice location 2
13625 Maple Ave Ste 202
Flushing, NY 11355-3891
Phone (718) 358-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726002120 | NY | Order and Referring Only - Optometry | 8921448473 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009902 | NY | MD | Medical Physician Assistant |
Interoperability endpoints
- cliang787652@direct.ochin.org
- cliang@advancedeyecare.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1164103255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WALKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134135",
"telephone_number": "212-226-8866",
"fax_number": "212-226-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13172 40TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545137",
"telephone_number": "718-886-1287",
"fax_number": "718-886-3903"
}
],
"practiceLocations": [
{
"address_1": "79 Middleville Rd",
"address_purpose": "LOCATION",
"city": "Northport",
"state": "NY",
"postal_code": "117682200",
"country_code": "US",
"telephone_number": "631-261-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13625 Maple Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113553891",
"country_code": "US",
"telephone_number": "718-358-5900",
"fax_number": "718-358-9952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIANG",
"first_name": "COURTNEY",
"middle_name": "SHUIYING",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.