Active NPI
Judy C. Liao O.D. Inc
- Optometrist
- Los Angeles, CA
National Provider Identifier
1689854028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 11694T
- Legal business name
- JUDY C. LIAO O.D. INC
- Practice address
- 631 N Broadway
Los Angeles, CA 90012-2801 - Phone
- (213) 680-0404
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judy C. Liao, O.D.
- Title
- Optometrist/Owner
- Phone
- (213) 680-0404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 11694T | CA | Primary |
Addresses
Primary practice location
631 N Broadway
Los Angeles, CA 90012-2801
Mailing address
631 N Broadway
Los Angeles, CA 90012-2801
Phone (213) 680-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0116940 | Medicaid | CA |
Other names 1
- L.A. VISION OPTOMETRY
National Provider Directory
National Provider DirectoryLocations
311 S Broadway
Los Angeles, CA 90013
Phone (213) 680-0404
631 N Broadway
Los Angeles, CA 90012
Phone (213) 680-0404
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Diamond Bar, CA
- NPI 1982282760
-
- Optometrist
- Huntington Park, CA
- NPI 1114954856
-
- Optometrist
- Tucson, AZ
- NPI 1144451741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447977600000",
"number": "1689854028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122801",
"telephone_number": "213-680-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122801",
"telephone_number": "213-680-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDY C. LIAO O.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2015-11-20",
"status": "A",
"authorized_official_last_name": "LIAO",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "213-680-0404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 11694T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0116940",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "L.A. VISION OPTOMETRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.