Li Chen Li, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

34136TLG Issued in CA

Practice address

563 N Mountain Ave
Upland, CA 91786-5016

Phone

(909) 985-2876

Fax

(909) 946-8585

NPI assigned

Jun 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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.

• Metropolitan Optometric

  dba Metropolitan Optometry

  • Clinic/Center
  • Rowland Heights, CA
  • NPI 1659616399
  Medicare reassignment NPD Authorized official
• Glendora Optometry Apc

  • Health Service Clinic/Center
  • Glendora, CA
  • NPI 1811666506
  NPD (past)
• Randy R Burt, OD Inc.

  • Optometrist
  • Glendora, CA
  • NPI 1851535900
  NPD (past)
• Corona Optometry PC

  dba Corona Vision

  • Optometrist
  • Corona, NY
  • NPI 1760817191
  NPD (past)
• Corona Optometry, PC

  • Optometrist
  • Corona, NY
  • NPI 1336321728
  NPD (past)

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

{
    "created_epoch": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1558741389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 N MOUNTAIN AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865016",
            "telephone_number": "909-985-2876",
            "fax_number": "909-946-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 N MOUNTAIN AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865016",
            "telephone_number": "909-985-2876",
            "fax_number": "909-946-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "852 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917404806",
            "country_code": "US",
            "telephone_number": "626-914-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "LI",
        "middle_name": "CHEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008261",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34136TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Levy
• Isa Darina Lewis-Green
• Tashana Lewis
• Elena Leyva
• Dong Mei Li-Bernardo
• Chen Liang
• Yuanrui Liang, L.AC
• Erica Huey-Yun Liao
• Sharon Liao, OD
• Jeffrey Libman

• Optometrist in Upland, CA
• Providers in Upland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.