Individual provider Active NPI

Ying Liu, O.D.

  • Optometrist
  • Winchester, MA
National Provider Identifier
1386734556
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4562 Issued in MA
Practice address
9 Azalea Rd
Winchester, MA 01890-2220
Phone
(781) 710-4670
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4562 MA Primary

Addresses

Primary practice location

9 Azalea Rd
Winchester, MA 01890-2220

Mailing address

9 Azalead Rd
Winchester, MA 01890-1113
Phone (781) 710-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20061101000460 MA Practitioner - Optometry 5395742522 Reassigns benefits to 1 organization
Practice locations: Everett, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 S St
Boston, MA 02111-2826
Phone (617) 521-6700

277 Commercial St
Malden, MA 02148-6708
Phone (781) 912-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Cove Community Health Center, Inc. CurrentSince Sep 11, 2014 Accepting new patients
South Cove Community Health Center, Inc. CurrentSince Sep 11, 2014 Accepting new patients
W Winston Yao OD PC Optometrist PastSince Jul 24, 2022 Accepting new patients
Tallman Eye Associates, PC Optometrist Past Accepting new patients

Locations

145 South St
Boston, MA 02111
Phone (617) 521-6700

Interoperability endpoints

  • Direct secure messaging: ying.liu@scchc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1386734556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 AZALEAD RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901113",
            "telephone_number": "781-710-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 AZALEA RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902220",
            "telephone_number": "781-710-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YING",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.