Individual provider Active NPI

Judy C Liu, MD

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1689675720
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16454 Issued in NV
Practice address
710 Coronado Center Dr Ste 201
Henderson, NV 89052-4291
Phone
(702) 369-0200
Fax
(702) 243-8383
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16454 NV Primary

Addresses

Primary practice location

710 Coronado Center Dr Ste 201
Henderson, NV 89052-4291

Mailing address

653 N Town Center Dr Ste 518
Las Vegas, NV 89144-0519
Phone (702) 369-0200

Other practice location 1

1301 Bertha Howe Ave Ste 11
Mesquite, NV 89027-7503
Phone (702) 369-0200

Other practice location 2

6220 N Durango Dr
Las Vegas, NV 89149-3916
Phone (702) 369-0200

Other practice location 3

653 N Town Center Dr Ste 518
Las Vegas, NV 89144-0519
Phone (702) 369-0200

Other identifiers 1

IdentifierTypeStateIssuer
1689675720MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001559 NV Practitioner - OphthalmologyPractitioner - Other (Physician) 7315923836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Nevada LLPGroup PAC ID 5193616449, 15 clinicians

Practice addresses (Care Compare)

653 N Town Ctr Dr
Suite 518
Las Vegas, NV 89144-0519
Phone (702) 369-0200

Hospital & facility affiliations

  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16454NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyenet Triage, PLC Ophthalmology Past Accepting new patients
Upmc Mercy Past Accepting new patients
Retina Vitreous Consultants Inc. Ophthalmology Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Retina Consultants of Nevada LLP Ophthalmology Past Accepting new patients
Retinal Consultants of Arizona LTD Ophthalmology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1689675720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440519",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CORONADO CENTER DR STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524291",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Bertha Howe Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890277503",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6220 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653 N Town Center Dr Ste 518",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891440519",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "JUDY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "16454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689675720",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.