Active NPI
Yuanbing Liao, O.D.
- Optometrist
- Castro Valley, CA
National Provider Identifier
1497060875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 14020 TLG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA117987 | Other | CA | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 14020 TLG | CA | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.