Judy Chia-Ti Liao, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 11694T Issued in CA

Practice address

631 N Broadway
Los Angeles, CA 90012-2801

Phone

(213) 680-0404

Fax

(213) 680-2853

NPI assigned

Aug 1, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tina S. Patel, O.D. , Professional Corporation

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1073322384
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1265449730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122801",
            "telephone_number": "213-680-0404",
            "fax_number": "213-680-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122801",
            "telephone_number": "213-680-0404",
            "fax_number": "213-680-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "JUDY",
        "middle_name": "CHIA-TI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11694T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0116940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Best Liao
• Connie Liao, MD
• David Shangkang Liao, M.D.,PH.D.
• Edward Regan Liao, MD
• Jim Liao, PA
• Kelly Yu Chien Liao, OTR
• Lucy Pei-Ju Liao, M.D.
• Meiyi Liao, PHARM.D.
• Peter Liao, MD, PHD
• Shu-Yi Liao, M.D.,MPH.,MS.,SCD

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.

Verify at the official NPI Registry.