Individual provider Active NPI

Ting Li, O.D.

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1346405487
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5799 T2713 Issued in OH
Practice address
10000 Brookpark Rd
Cleveland, OH 44130-1102
Phone
(216) 382-2562
Fax
(216) 382-2569
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5799 T2713 OH Primary

Addresses

Primary practice location

10000 Brookpark Rd
Cleveland, OH 44130-1102

Mailing address

7401 Vahalla Dr
Solon, OH 44139-5260
Phone (440) 248-1534

Other identifiers 1

IdentifierTypeStateIssuer
3041658MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100112000267 OH Practitioner - Optometry 8820139900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5799 T2713OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Eye Care Inc Optometrist CurrentSince Dec 1, 2009 Accepting new patients
Dr. Z Eye Clinic LLC Optometrist Past Accepting new patients

Locations

10000 Brookpark Rd
Cleveland, OH 44130
Phone (216) 741-6786

3606 Mayfield Rd
Cleveland Hts, OH 44118
Phone (216) 382-2562

1868 Warrensville Center Rd
#R
South Euclid, OH 44121
Phone (216) 382-2562

1868 Warrensville Center Rd
South Euclid, OH 44121
Phone (216) 382-2358

Organizations & group practices 2

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1346405487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 VAHALLA DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395260",
            "telephone_number": "440-248-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441301102",
            "telephone_number": "216-382-2562",
            "fax_number": "216-382-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TING",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5799 T2713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3041658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.