Active NPI
Laurie-Ann Liu, OD
- Optometrist
- Eddystone, PA
National Provider Identifier
1720009434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000438
- Practice address
- 1570 Chester Pike
Eddystone, PA 19022-1338 - Phone
- (610) 447-1878
- NPI assigned
- Jul 21, 2006
- Last updated
- Sep 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000438 | PA | Primary |
Addresses
Primary practice location
1570 Chester Pike
Eddystone, PA 19022-1338
Mailing address
1570 Chester Pike
Eddystone, PA 19022-1338
Phone (610) 447-1878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110307000077 | PA | Practitioner - Optometry | 8921280397 | Practice locations: Eddystone, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000438 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188777600000",
"number": "1720009434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 CHESTER PIKE",
"city": "EDDYSTONE",
"state": "PA",
"postal_code": "190221338",
"telephone_number": "610-447-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 CHESTER PIKE",
"city": "EDDYSTONE",
"state": "PA",
"postal_code": "190221338",
"telephone_number": "610-447-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "LAURIE-ANN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eddystone, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.