Active NPI
Andrea Liem, O.D.
- Optometrist
- Seattle, WA
National Provider Identifier
1184853293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD 60118179
- Practice address
- 718 8TH Ave S
Seattle, WA 98104-3006 - Phone
- (206) 788-3505
- NPI assigned
- Jul 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | OD 60118179 | WA | Primary |
Addresses
Primary practice location
718 8TH Ave S
Seattle, WA 98104-3006
Mailing address
PO Box 3007
Seattle, WA 98114-3007
Phone (206) 788-3616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD 60118179 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Community Health Services | Current | Accepting new patients | |
| International Community Health Services | Optometrist | Current | Accepting new patients |
| Astoria Vision Center Inc | Optometrist | Past | Accepting new patients |
| International Community Health Services | Optometrist | Past | Accepting new patients |
| Omega Optical Inc | Past | Accepting new patients | |
| Jackson Heights Optical Inc | Optometrist | Past | Accepting new patients |
Locations
720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770
3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500
718 8th Ave S
Seattle, WA 98104
Phone (206) 788-3505
16549 Aurora Ave N
Shoreline, WA 98133
Phone (206) 533-2600
Interoperability endpoints
- aliem1186408@wm.providencedirect.org
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1376659151
Optometrist
-
- Federally Qualified Health Center (FQHC)
- Auburn, WA
- NPI 1831910439
-
- Optometrist
- Seattle, WA
- NPI 1376083741
-
- Optometrist
- Astoria, NY
- NPI 1356544266
-
- Optometrist
- Jackson Heights, NY
- NPI 1881806917
-
- Optician
- Rego Park, NY
- NPI 1336360767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1184853293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3007",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981143007",
"telephone_number": "206-788-3616",
"fax_number": "206-652-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 8TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043006",
"telephone_number": "206-788-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEM",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD 60118179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.