Individual provider Active NPI

Victoria Jui-Ya Liu, O.D.

  • Optometrist
  • Fremont, CA
National Provider Identifier
1740560671
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14251TLG Issued in CA
Practice address
39541 Gallaudet Dr Apt 2006
Fremont, CA 94538-4533
Phone
(916) 216-3085
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14251TLG CA Primary

Addresses

Primary practice location

39541 Gallaudet Dr Apt 2006
Fremont, CA 94538-4533

Mailing address

39541 Gallaudet Dr Apt 2006
Fremont, CA 94538-4533
Phone (916) 216-3085

Other names 1

  • Victoria Jui-Ya Choi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14251TLGCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1740560671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39541 GALLAUDET DR APT 2006",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384533",
            "telephone_number": "916-216-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39541 GALLAUDET DR APT 2006",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384533",
            "telephone_number": "916-216-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "VICTORIA",
        "middle_name": "JUI-YA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14251TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CHOI",
            "middle_name": "JUI-YA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.