Individual provider Active NPI

Sian E Liem, OD

  • Optometrist
  • Scarborough, ME
National Provider Identifier
1275522948
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT811 Issued in ME
Practice address
7 Portland Farms Rd
Scarborough, ME 04074-5301
Phone
(207) 883-2809
Fax
(207) 885-5607
NPI assigned
Oct 17, 2005
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT811 ME Primary

Addresses

Primary practice location

7 Portland Farms Rd
Scarborough, ME 04074-5301

Mailing address

PO Box 7487
Portland, ME 04112-7487
Phone (207) 885-8686

Other identifiers 1

IdentifierTypeStateIssuer
237970099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050624000361 ME Practitioner - Optometry 9133164692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casco Bay Eyecare LLCGroup PAC ID 3274620562, 8 clinicians

Practice addresses (Care Compare)

10 Q St
South Portland, ME 04106-3601
Phone (207) 799-3877

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT811MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Casco Bay Eyecare LLC Optometrist CurrentSince Apr 1, 1998 Accepting new patients

Locations

455 Fore St
Portland, ME 04101
Phone (207) 773-2020

7 Portland Farms Rd
Scarborough, ME 04074
Phone (207) 232-7405

10 Q St
South Portland, ME 04106
Phone (207) 773-2020

Organizations & group practices 1

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1275522948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7487",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041127487",
            "telephone_number": "207-885-8686",
            "fax_number": "207-883-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PORTLAND FARMS RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745301",
            "telephone_number": "207-883-2809",
            "fax_number": "207-885-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEM",
        "first_name": "SIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237970099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.