Active NPI
Alex Corbin Liu, O.D.
- Optometrist
- Rowland Heights, CA
National Provider Identifier
1790795318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12329T
- Practice address
- 19735 Colima Rd
#4
Rowland Heights, CA 91748-3227 - Phone
- (909) 468-4622
- Fax
- (909) 468-4603
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- 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 | 12329T | CA | Primary |
Addresses
Primary practice location
19735 Colima Rd
#4
Rowland Heights, CA 91748-3227
Mailing address
19735 Colima Rd
#4
Rowland Heights, CA 91748-3227
Phone (909) 468-4622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12329T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex Corbin Liu, OD. Inc. | Optometrist | Current | Accepting new patients |
| Nelson & Endicott an Optometric Corporation | Optometrist | Past | Accepting new patients |
Locations
19735 Colima Rd
Ste 4
Rowland Heights, CA 91748
Phone (626) 823-3494
Organizations & group practices 2
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.
-
- Optometrist
- Rowland Heights, CA
- NPI 1750627576
-
- Optometrist
- Rowland Heights, CA
- NPI 1134190853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1790795318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19735 COLIMA RD",
"address_2": "#4",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917483227",
"telephone_number": "909-468-4622",
"fax_number": "909-468-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19735 COLIMA RD",
"address_2": "#4",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917483227",
"telephone_number": "909-468-4622",
"fax_number": "909-468-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "ALEX",
"middle_name": "CORBIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12329T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.