Active NPI
Carter Thomas Liotta, O.D.
- Optometrist
- Kaneohe, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD977
- Practice address
- 45-995 Wailele Rd Apt 67
Kaneohe, HI 96744-3043 - Phone
- (808) 518-7435
- NPI assigned
- Aug 21, 2009
- Last updated
- Sep 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001252 | PA | |
| Optometrist | 152W00000X | OD977 | HI | Primary |
Addresses
Primary practice location
45-995 Wailele Rd Apt 67
Kaneohe, HI 96744-3043
Mailing address
45-995 Wailele Rd Apt 67
Kaneohe, HI 96744-3043
Phone (808) 518-7435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD977 | HI | MD | Optometrist |
| OEG001252 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Optometrist | Current | Accepting new patients |
| Vision to Learn | Optometrist | Past | Accepting new patients |
Locations
153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363
Organizations & group practices 4
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.
-
dba St. Christopher's Pediatric Associates Gastroenterology - Jenkintown
- Pediatric Gastroenterology Physician
- Jenkintown, PA
- NPI 1033753439
-
dba St. Christopher's Pediatric Associates Emergency Medicine - E. Erie A
- Pediatric Emergency Medicine (Pediatrics) Physician
- Philadelphia, PA
- NPI 1144864547
-
dba St. Christopher's Pediatric Associates Ophthalmology - Newtown Yardley
- Ophthalmology Physician
- Newtown, PA
- NPI 1548141997
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1932331162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-995 WAILELE RD APT 67",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443043",
"telephone_number": "808-518-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-995 WAILELE RD APT 67",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443043",
"telephone_number": "808-518-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIOTTA",
"first_name": "CARTER",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001252",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "OD977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.