Utopia Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

13573 Issued in CA

Legal business name

UTOPIA OPTOMETRY

Practice address

1552 Foothill Blvd
La Verne, CA 91750-3434

Phone

(909) 593-4423

Fax

(909) 593-0176

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tim C Liu, O.D.NPI 1154587210

Title

Cfo

Phone

(909) 593-4423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim C Liu, O.D.

  • Optometrist
  • La Verne, CA
  • NPI 1154587210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393718400000",
    "number": "1689944217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503434",
            "telephone_number": "909-593-4423",
            "fax_number": "909-593-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503434",
            "telephone_number": "909-593-4423",
            "fax_number": "909-593-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTOPIA OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2014-03-02",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-593-4423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Turner
• Myra Ivette Tyler, MSW, LCSW
• Tracey Gail Uditsky
• Stephanie Untalan, COTA/L
• Carla Ureno, M.S, MFTI
• Joana Valencia
• Natalie Rose Valencia, LPT
• Matthew Jacob Valente
• Jeffrey Andrew Van Gorder
• Steven Lanard Vann

• Optometrist in La Verne, CA
• Providers in La Verne, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.