Individual provider Active NPI

Timothy Scott Liegler, OD

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1336250331
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7983TG Issued in CA
Practice address
18582 Main St
Lorry Duncan
Huntington Beach, CA 92648-1701
Phone
(714) 965-9696
Fax
(714) 965-9797
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT7983TG CA Primary

Addresses

Primary practice location

18582 Main St
Lorry Duncan
Huntington Beach, CA 92648-1701

Mailing address

18582 Main St
Attn: Lorry Duncan
Huntington Beach, CA 92648-1701
Phone (714) 965-9696

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
I20050103000710 CA Practitioner - Optometry 0941268296 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT7983TGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Sep 1, 2015 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2015 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 30A
Orange, CA 92868

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1336250331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18582 MAIN ST",
            "address_2": "ATTN: LORRY DUNCAN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481701",
            "telephone_number": "714-965-9696",
            "fax_number": "714-965-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18582 MAIN ST",
            "address_2": "LORRY DUNCAN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481701",
            "telephone_number": "714-965-9696",
            "fax_number": "714-965-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEGLER",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7983TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.