Individual provider Active NPI

Jia Jiann Liaw

  • Optometrist
  • Malden, MA
National Provider Identifier
1609327774
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP-5187 Issued in MA
Practice address
1 Highland Ave
Malden, MA 02148-6603
Phone
(617) 992-1539
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP-5187 MA Primary

Addresses

Primary practice location

1 Highland Ave
Malden, MA 02148-6603

Mailing address

1 Highland Ave
Malden, MA 02148-6603
Phone (617) 992-1539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161206001843 MA Practitioner - Optometry 1153601208 Reassigns benefits to 1 organization
I20170303000112 NH Practitioner - Optometry 1153601208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Providers of New Hampshire, PLLCGroup PAC ID 8325149651, 9 clinicians
Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians

Practice addresses (Care Compare)

273 Loudon Rd
Suite 7
Concord, NH 03301-6062
Phone (603) 224-0418

344 Russell St
Suite 5
Hadley, MA 01035-5904
Phone (413) 584-0452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5187MAMDMental Health Counselor
OP-5187MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Jan 28, 2017 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Nov 1, 2016 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Jan 28, 2017 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Nov 1, 2016 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist Past Accepting new patients

Locations

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

344 Russell St
Ste 5
Hadley, MA 01035
Phone (413) 584-0452

1 Highland Ave
Malden, MA 02148
Phone (603) 475-4148

1 Highland Ave
#3B
Malden, MA 02148
Phone (781) 321-9039

273 Loudon Rd
Ste 7
Concord, NH 03301
Phone (603) 224-0418

346 S Broadway
#28
Salem, NH 03079
Phone (603) 898-8560

346 S Broadway
Salem, NH 03079
Phone (603) 898-8560

652 Lafayette Rd
Unit 3
Seabrook, NH 03874
Phone (603) 414-0269

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1609327774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGHLAND AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486603",
            "telephone_number": "617-992-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHLAND AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486603",
            "telephone_number": "617-992-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAW",
        "first_name": "JIA JIANN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OP-5187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.