Biviana Lie, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11129T Issued in TX

Practice address

4401 Martin Luther King Blvd
Houston, TX 77204-3069

Phone

(713) 743-2020

NPI assigned

Jun 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 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

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Michael W Hansen OD IncGroup PAC ID 3577768399, 4 clinicians

Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

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.

• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• Michael W Hansen OD Inc

  • Optometrist
  • El Segundo, CA
  • NPI 1811319478
  Medicare reassignment Care Compare group NPD (past)
• University of Houston System

  • Optometrist
  • Houston, TX
  • NPI 1861493140
  Medicare reassignment NPD
• University of Houston

  • Community Health Worker
  • Houston, TX
  • NPI 1366081622
  NPD
• University of Houston System

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1447371430
  NPD
• Gregory Y. Kame, O.D., F.a.a.O., a Professional Corporation

  • Corneal and Contact Management Optometrist
  • Los Angeles, CA
  • NPI 1053343137
  NPD
• Michael W Hansen OD Inc

  • Optometrist
  • Redondo Beach, CA
  • NPI 1245653617
  NPD
• Marina Eyecare Center

  • Optometrist
  • Los Angeles, CA
  • NPI 1407917701
  NPD (past)
• Mark a. Chung, O.D., a Professional Corporation

  • Optometrist
  • West Hollywood, CA
  • NPI 1861800997
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1639910094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E BONITA CT",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772043069",
            "telephone_number": "713-743-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIE",
        "first_name": "BIVIANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11129T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Licona, APRN, FNP-C
• Genesis Licona, MD
• Liddell Family Healthcare
• Miracle Liddell, MA
• Lido Senior Club LLC
• Jessica Jin Lie, MD
• Eula Marie Lieber, CRNA
• Michael W Lieberman, MD PHD
• Michael Garry Liebl, PHARMD
• Van Lien, PHARMD

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.

Verify at the official NPI Registry.