Individual provider Active NPI

Alaina Rachel Liu, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1225701535
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34976TLG Issued in CA
Practice address
2615 E Clinton Ave
Fresno, CA 93703-2223
Phone
(559) 225-6100
NPI assigned
Aug 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34976TLG CA Primary

Addresses

Primary practice location

2615 E Clinton Ave
Fresno, CA 93703-2223

Mailing address

4900 Hazelnut Ave
Seal Beach, CA 90740-3021

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
I20240227003434 CA Practitioner - Optometry 3274978457 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34976CAMDClinical Psychologist
34976TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Eyecare Medical Associates CurrentSince Feb 5, 2024 Accepting new patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group Optometrist CurrentSince Sep 5, 2024 Accepting new patients

Locations

3300 E South St
Ste 105
Lakewood, CA 90805
Phone (562) 232-1442

3801 Katella Ave
Ste 130
Los Alamitos, CA 90720
Phone (562) 430-3561

800 S Pacific Ave
Ste A
San Pedro, CA 90731
Phone (310) 547-9991

1360 W 6th St
Ste 215
San Pedro, CA 90732
Phone (310) 547-9991

Organizations & group practices 3

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": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1225701535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 HAZELNUT AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032223",
            "telephone_number": "559-225-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "ALAINA",
        "middle_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34976TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.