Individual provider Active NPI

Lisa Chao, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1235659517
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33722TLG Issued in CA
Practice address
1001 Tower Way Ste 150
Bakersfield, CA 93309-1586
Phone
(661) 327-4499
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33722TLG CA Primary

Addresses

Primary practice location

1001 Tower Way Ste 150
Bakersfield, CA 93309-1586

Mailing address

7447 N Figueroa St Ste 200
Los Angeles, CA 90041-1721
Phone (323) 257-3300

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
I20170906001791 CA Practitioner - Optometry 6103199542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33722TLGCAMDOptometrist
33722CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Li & Liao Optometry PC Optometrist CurrentSince Oct 1, 2017 Accepting new patients
Li & Liao Optometry PC Optometrist CurrentSince Oct 1, 2017 Accepting new patients
Li & Liao Optometry PC PastSince Aug 8, 2021 Accepting new patients

Locations

1002 Wible Rd
Ste I
Bakersfield, CA 93304
Phone (661) 835-1104

9820 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 213-3000

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, 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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1235659517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 N FIGUEROA ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411721",
            "telephone_number": "323-257-3300",
            "fax_number": "323-257-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWER WAY STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091586",
            "telephone_number": "661-327-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "LISA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33722TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.