Sophia Clarissa Liem, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33761TLG Issued in CA

Practice address

2031 W Alameda Ave Ste 300
Burbank, CA 91506-2960

Phone

(818) 762-0647

NPI assigned

Jul 26, 2017

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Justin Hu, O.D., IncorporatedGroup PAC ID 7214108968, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Justin Hu, O.D., Incorporated

  • Optometrist
  • South Pasadena, CA
  • NPI 1508148941
  Medicare reassignment Care Compare group NPD
• A Center for Visioncare Surgical & Medical Group

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1912058728

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1881118321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 W ALAMEDA AVE",
            "address_2": "STE 300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062960",
            "telephone_number": "818-762-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 W ALAMEDA AVE STE 300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062960",
            "telephone_number": "818-762-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEM",
        "first_name": "SOPHIA",
        "middle_name": "CLARISSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33761TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zen Jordan Lewis, PHD, LMHC, LPCC
• Jacqueline Licauco, NP
• Emmanuel Licup, PT, DPT
• Lidia Alzate DC a Chiropractic Corporation
• Wayne Peter Liebman, M.D.
• Life Bridge Hospice Care, Inc.
• Life House Hospiceinc
• Life to Life Hospice Care, Inc.
• Lifehouse Healthcare Inc
• Lifeline Med. Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.