Individual provider Active NPI

Vivien Hua Mei Li, O.D.

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1164874467
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004990 Issued in MI
Practice address
654 Briarwood Cir
Space D128, Briarwood Mall
Ann Arbor, MI 48108-1612
Phone
(734) 761-8300
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 4901004990 MI Primary

Addresses

Primary practice location

654 Briarwood Cir
Space D128, Briarwood Mall
Ann Arbor, MI 48108-1612

Mailing address

213 S 4TH Ave
Apt 2B
Ann Arbor, MI 48104-2134
Phone (734) 395-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170214000796 MI Practitioner - Optometry 9537442710 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004990MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan-Uhs-University Health Ser CurrentSince Jul 2, 2021 Accepting new patients

Locations

207 Fletcher St
Rm 0
Ann Arbor, MI 48109

207 Fletcher St
Ann Arbor, MI 48109
Phone (734) 764-8320

207 Fletcher St
Rm 245G
Ann Arbor, MI 48109
Phone (734) 763-9631

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1164874467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S 4TH AVE",
            "address_2": "APT 2B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042134",
            "telephone_number": "734-395-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 BRIARWOOD CIR",
            "address_2": "SPACE D128, BRIARWOOD MALL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081612",
            "telephone_number": "734-761-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "VIVIEN",
        "middle_name": "HUA MEI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.