Individual provider Active NPI

Yuanbing Liao, O.D.

  • Optometrist
  • Castro Valley, CA
National Provider Identifier
1497060875
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 14020 TLG Issued in CA
Practice address
3028 Castro Valley Blvd.
Castro Valley, CA 94546-5510
Phone
(510) 538-2020
Fax
(844) 270-2826
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 14020 TLG CA Primary

Addresses

Primary practice location

3028 Castro Valley Blvd.
Castro Valley, CA 94546-5510

Mailing address

3028 Castro Valley Blvd.
Castro Valley, CA 94546-5510
Phone (510) 538-2020

Other identifiers 1

IdentifierTypeStateIssuer
CA117987OtherCAMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

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
I20140425001289 CA Practitioner - Optometry 9335372473 Practice locations: Castro Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3028 Castro Valley Blvd
Castro Valley, CA 94546-5510
Phone (510) 538-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 14020 TLGCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1497060875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 CASTRO VALLEY BLVD.",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465510",
            "telephone_number": "510-538-2020",
            "fax_number": "844-270-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 CASTRO VALLEY BLVD.",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465510",
            "telephone_number": "510-538-2020",
            "fax_number": "844-270-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "YUANBING",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14020 TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "CA117987",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.