Dr. Mico Liu Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12407T Issued in CA

Legal business name

DR. MICO LIU OPTOMETRY, INC

Practice address

8500 Washington Blvd
Pico Rivera, CA 90660-3788

Phone

(562) 801-9532

Fax

(562) 801-9586

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Mico Liu, OD

Title

Owner

Phone

(626) 589-8696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1629224589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 AMBERWOOD DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892470",
            "telephone_number": "626-589-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WASHINGTON BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603788",
            "telephone_number": "562-801-9532",
            "fax_number": "562-801-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICO LIU OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "MICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-589-8696",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12407T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D. Ding, MD
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• Vong H DO, PHARMD
• Gregory Ara Doumanian, DDS
• Lisa Renee Doyea, CCC-SLP
• DRS. Horiguchi and Kim Dental Corporation
• Melissa De Guzman Duag, PA-C
• Antonio Omar Duenas
• Emily Banh Duong
• Joana Duran, MSWI

• Optometrist in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.