Lew and Liao a Professional Optometric Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LEW AND LIAO A PROFESSIONAL OPTOMETRIC CORP.

Practice address

1100 Park PL Ste 10
San Mateo, CA 94403-7106

Phone

(650) 219-6768

NPI assigned

Feb 15, 2012

Last updated

Feb 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jocelyn Liao, O.D.

Title

Optometrist

Phone

(650) 219-6768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minjung Yi Lew, O.D.

  • Optometrist
  • San Mateo, CA
  • NPI 1639264179
  Medicare reassignment Care Compare group NPD
• Jocelyn Liao Pang

  • Optometrist
  • San Mateo, CA
  • NPI 1487759031
  Medicare reassignment Care Compare group NPD
• Juleanne Clarice Regalario Dino, OD

  • Optometrist
  • San Mateo, CA
  • NPI 1730866161
  Medicare reassignment NPD

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1396018719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PARK PL STE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944037106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARK PL STE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944037106",
            "telephone_number": "650-219-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEW AND LIAO A PROFESSIONAL OPTOMETRIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "650-219-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori R Levitt, MFT
• Amnon Levy
• Daniele V Levy, PHD
• Pamela Marian Levy, M.A., MFT
• Vivian Levy, MD
• Justin Lew
• Melodie L. Lew, MFT
• Minjung Yi Lew, O.D.
• Wei Mon Lew, PH.D.
• Brenda Lamb Lewis

• Optometrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.