Gina Lieu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33986TLG Issued in CA

Practice address

451 Manhattan Beach Blvd
Manhattan Beach, CA 90266-5345

Phone

(107) 965-6653

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Ryan Stybel OD IncGroup PAC ID 5092014357, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Look Optometry Inc

  • Optometrist
  • Manhattan Beach, CA
  • NPI 1265881965
  NPD
• Ryan Stybel OD Inc.

  • Optometrist
  • West Hollywood, CA
  • NPI 1972950830
  NPD
• Dr. J. Solomon Moore, OD & Associates, Inc.

  • Optometrist
  • Van Nuys, CA
  • NPI 1780721944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1255817136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 W 77TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453213",
            "telephone_number": "626-679-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MANHATTAN BEACH BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665345",
            "telephone_number": "107-965-6653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14434 Hamlin St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914011461",
            "country_code": "US",
            "telephone_number": "818-785-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEU",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33986TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Renee Lepage, LMSW
• Leslie Irvine PC
• Levine Therapy, Licensed Professional Clinical Counselor, PC
• Wendy Ann Lewis, MFT
• Kenneth Li
• Rachel Liger, RD
• Roger Kenneth Light, PH.D.
• Lightning Cal Healthcare Services Inc.
• Jacqueline Lim, PHARM.D.
• Sean Limahelu, PT, DPT

• Optometrist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.