Brian Austin Li, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003019 Issued in VA

Practice address

1501 Sams Cir
Chesapeake, VA 23320-4694

Phone

(757) 549-2020

Fax

(757) 548-0088

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Commonwealth Family Eye Care PLCGroup PAC ID 8628217684, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Commonwealth Family Eye Care, PLC

  • Optometrist
  • Chesapeake, VA
  • NPI 1326397720
  Medicare reassignment Care Compare group NPD
• Li Family Eye Care PLC

  • Optometrist
  • Williamsburg, VA
  • NPI 1114498524
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1427626522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ROCHAMBEAU DR STE F276",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAMS CIR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204694",
            "telephone_number": "757-549-2020",
            "fax_number": "757-548-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "BRIAN",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lewis
• Victor D Lewis III, M.D
• Victoria S Lewis, LPC
• Benny Li
• Bi Yu Li, O.D.
• Yinghua Li, L.AC.
• Russfir Librado
• Licensed Professional Counseling Services, LLC
• Roger William Lidman, M.D.
• Life Choices LLC

• Optometrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.