Individual provider Active NPI

Debbie Lieu, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1265165559
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35208 Issued in CA
Practice address
1300 N Vermont Ave Ste 101
Los Angeles, CA 90027-6098
Phone
(183) 327-0393
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35208 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 101
Los Angeles, CA 90027-6098

Mailing address

1300 N Vermont Ave Ste 101
Los Angeles, CA 90027-6098
Phone (183) 327-0393

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
I20250617000236 CA Practitioner - Optometry 8022456532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 101
Los Angeles, CA 90027-6061
Phone (323) 644-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35208CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelight Community Health CurrentSince Jun 6, 2025 Accepting new patients
Gracelight Community Health CurrentSince Jun 6, 2025 Accepting new patients
Cha Medical and Surgical Group, PC CurrentSince Jun 4, 2025 Accepting new patients
Donna M Hong OD Inc Optometrist PastSince May 1, 2025 Accepting new patients

Locations

1300 N Vermont Ave
Ste 102
Los Angeles, CA 90027

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg

Organizations & group practices 4

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1265165559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276098",
            "telephone_number": "183-327-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276098",
            "telephone_number": "183-327-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEU",
        "first_name": "DEBBIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.