Mico Kuo Liu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12407T Issued in CA

Practice address

8500 Washington Blvd
Pico Rivera, CA 90660-3788

Phone

(562) 801-9532

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1811026982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 AMBERWOOD DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892470",
            "telephone_number": "626-589-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WASHINGTON BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603788",
            "telephone_number": "562-801-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "MICO",
        "middle_name": "KUO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12407T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna F Lesaca
• Lifecare Ambulance LLC
• Sung-En Lin
• Rebecca Lira, BA
• Isabel Liu, PHARM D
• Steve Li Ming Liu, R.D.H.
• Yu Ping Liu, DDS
• Megan Lockie
• Lockwood Family Therapy Prof Corp
• Lockwood Therapeutics Inc.

• Optometrist in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.