Active NPI
Jia Jiann Liaw
- Optometrist
- Malden, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP-5187
- 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
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 | 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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5187 | MA | MD | Mental Health Counselor |
| OP-5187 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Providers of New Hampshire, PLLC | Optometrist | Current | Accepting new patients |
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Optometric Providers of New Hampshire, PLLC | Optometrist | Current | Accepting new patients |
| Mass Optometric Associates, PLLC | Optometrist | Current | 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.
-
- Optometrist
- Malden, MA
- NPI 1063610194
-
- Optometrist
- Attleboro, MA
- NPI 1972059723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.