Individual provider Active NPI

Norman Hontin Liu, M.D.

  • Ophthalmology Physician
  • Garden Grove, CA
National Provider Identifier
1861492860
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A63593 Issued in CA
Practice address
12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1901
Phone
(714) 534-8373
Fax
(714) 534-8759
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A63593 CA Primary

Addresses

Primary practice location

12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1901

Mailing address

12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1901
Phone (714) 534-8373

Other identifiers 1

IdentifierTypeStateIssuer
00A635930MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000489 CA Practitioner - Ophthalmology 1759427859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Ophthalmology Medical Group.Group PAC ID 8921075599, 4 clinicians

Practice addresses (Care Compare)

12665 Garden Grove Blvd
Suite 401
Garden Grove, CA 92843-1918
Phone (714) 534-8373

Merit-based Incentive Payment System (MIPS)

Final score
99.31 of 100Reported as group
Quality
98.94
Promoting interoperability
93
Improvement activities
40
Cost
75.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A63593CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Ophthalmology Medical Group Ophthalmology CurrentSince Jul 9, 2001 Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

12665 Garden Grove Blvd
Ste 401
Garden Grove, CA 92843
Phone (714) 534-8373

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1861492860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 401",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-534-8373",
            "fax_number": "714-534-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 401",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-534-8373",
            "fax_number": "714-534-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "NORMAN",
        "middle_name": "HONTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A63593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A635930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.