Individual provider Active NPI

Peggy Mei-CHI Liao, MD

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1326090432
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD8275 Issued in HI
Practice address
1319 Punahou Street
Suite 620
Honolulu, HI 96826-1032
Phone
(808) 949-4558
Fax
(808) 949-1055
NPI assigned
May 17, 2006
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X MD8275 HI
Ophthalmology Physician 207W00000X MD8275 HI Primary

Addresses

Primary practice location

1319 Punahou Street
Suite 620
Honolulu, HI 96826-1032

Mailing address

1319 Punahou Street
Suite 620
Honolulu, HI 96826-1032
Phone (808) 949-4558

Other identifiers 2

IdentifierTypeStateIssuer
06045501MedicaidHI
080275OtherHIHMSA BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000142 HI Practitioner - Ophthalmology 5294850533 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1319 Punahou St
Suite 620
Honolulu, HI 96826-1044
Phone (808) 949-4558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1326090432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET",
            "address_2": "SUITE 620",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261032",
            "telephone_number": "808-949-4558",
            "fax_number": "808-949-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET",
            "address_2": "SUITE 620",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261032",
            "telephone_number": "808-949-4558",
            "fax_number": "808-949-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "PEGGY",
        "middle_name": "MEI-CHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "HI",
            "license": "MD8275",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD8275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06045501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BCBS",
            "identifier": "080275",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.