Dr. Mike Li Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. MIKE LI OPTOMETRY INC

Doing business as

Dr. Mike Li Optometry INC

Practice address

6250 Valley Springs Pkwy
Riverside, CA 92507-0970

Phone

(951) 656-7218

NPI assigned

May 9, 2019

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dr Mike Li

Title

Optometrist

Phone

(951) 656-7218

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mike Li Optometry INC Doing business as

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1750947297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 WASHINGTON AVE STE C110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622277",
            "telephone_number": "951-656-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 VALLEY SPRINGS PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070970",
            "telephone_number": "951-656-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MIKE LI OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "DR MIKE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "951-656-7218",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "1689777138",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mike Li Optometry INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.