Laurie-Ann Liu, OD
Individual provider Active NPI Optometrist · Eddystone, PA
NPI 1720009434 · NPPES record last updated Sep 3, 2007
Key facts
- NPI
- 1720009434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000438 (PA)
- Practice address
- 1570 Chester Pike
Eddystone, PA 19022-1338 - Phone
- (610) 447-1878
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110307000077 | PA | Practitioner - Optometry | 8921280397 | Practice locations: Eddystone, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000438 | PA | Yes |
Addresses
Primary practice location
1570 Chester Pike
Eddystone, PA 19022-1338
Mailing address
1570 Chester Pike
Eddystone, PA 19022-1338
Phone (610) 447-1878
Other providers in Eddystone, PA
- Carole Kriessman
- John H Lacoboulos
- Nefertiti Lafayette
- Liberty Portable X-Ray & Diagnostic Solutions LLC
- Liberty Portable X-Ray & Diagnostic Solutions LLC
- Krystal Mason-Copeland
- Catherine Marie McElroy
- Daisy Lee McGowan
- Pamela G Mehalick
- Milenia Ids LLC
All providers in Eddystone, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.