Active NPI
Thao C Lien, OD
- Optometrist
- Austin, TX
National Provider Identifier
1740473248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7119T
- Practice address
- 3705 Medical Pkwy Ste 410
Austin, TX 78705-1023 - Phone
- (512) 454-5851
- Fax
- (512) 454-5853
- NPI assigned
- Aug 20, 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 | 7119T | TX | Primary |
Addresses
Primary practice location
3705 Medical Pkwy Ste 410
Austin, TX 78705-1023
Mailing address
3705 Medical Pkwy Ste 410
Austin, TX 78705-1023
Phone (512) 454-5851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20071017000215 | TX | Practitioner - Optometry | 7618063017 | Practice locations: Austin, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7119 | TX | MD | Behavioral Analyst |
| 7119T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Consultants of Austin, PA | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- thao.lien@49420620398596.direct.elationemr.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1740473248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY STE 410",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051023",
"telephone_number": "512-454-5851",
"fax_number": "512-454-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY STE 410",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051023",
"telephone_number": "512-454-5851",
"fax_number": "512-454-5853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEN",
"first_name": "THAO",
"middle_name": "C",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7119T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.