Liliana Chavez, O.D.
Individual provider Active NPI Optometrist · Fowler, CA
NPI 1760370696 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1760370696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 36049 (CA)
- Practice address
- 106 E Main St
Fowler, CA 93625-2433 - Phone
- (800) 492-4227
- NPI assigned
- Jun 27, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20250821004502 | CA | Order and Referring Only - Optometry |
0042710303 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- liliana.chavez.1@17661.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 36049 | CA | Yes |
Addresses
Primary practice location
106 E Main St
Fowler, CA 93625-2433
Mailing address
3875 W Beechwood Ave
Fresno, CA 93711-0794
Other practice location 1
134 Grapevine Rd
Vista, CA 92083-4004
Phone (760) 631-5000
Other practice location 2
1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000
Other providers in Fowler, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. 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.