Live Optics, Family Boutique

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

D 6765 Issued in CA

Legal business name

LIVE OPTICS, FAMILY BOUTIQUE

Practice address

39159 Paseo Padre Pkwy Ste 117
Fremont, CA 94538-1600

Phone

(510) 494-8880

Fax

(510) 494-8882

NPI assigned

Feb 24, 2009

Organization subpart

Yes

Parent organization

LIVE OPTICSAs reported in NPPES

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

Authorized official

Name

Edith C Livelo, RDO

Title

Ceo/ Optician

Phone

(510) 494-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1285874685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY STE 117",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381600",
            "telephone_number": "510-494-8880",
            "fax_number": "510-494-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY STE 117",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381600",
            "telephone_number": "510-494-8880",
            "fax_number": "510-494-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OPTICS, FAMILY BOUTIQUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVE OPTICS",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "LIVELO",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/ OPTICIAN",
        "authorized_official_telephone_number": "510-494-8880",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D 6765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX006765F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Liu
• Josephine Liu, DDS
• Kingsway Liu, MD
• Victoria Jui-Ya Liu, O.D.
• Zitao Liu, M.D.
• Kimberly Rochelle Lizama, MSN
• Crystal Ariana Lizarde
• Maria Kristina Salayog Llanes, NP
• Eulalia M Llerena
• Christopher D Llorente

• Eyewear Supplier in Fremont, CA
• Providers in Fremont, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.