NPIMap

Organization Active NPI

Li & Liao Optometry PC

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1942271663
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1127 Issued in CA
Legal business name
LI & LIAO OPTOMETRY PC
Practice address
1002 Wible Rd
Suite I
Bakersfield, CA 93304-4137
Phone
(661) 835-1104
Fax
(661) 835-8644
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Dawson To-Sang Li, O.D.NPI 1114998622
Title
President / Optometrist
Phone
(661) 835-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1127 CA Primary

Addresses

Primary practice location

1002 Wible Rd
Suite I
Bakersfield, CA 93304-4137

Mailing address

1002 Wible Rd
Suite I
Bakersfield, CA 93304-4137
Phone (661) 835-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060726000230 CA Part B Supplier - Clinic/Group Practice 0345253993 Receives reassigned benefits from 6 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

1002 Wible Rd
Ste I
Bakersfield, CA 93304
Phone (661) 835-1104

1002 Wible Rd
Ste 1
Bakersfield, CA 93304

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1942271663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WIBLE RD",
            "address_2": "SUITE I",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044137",
            "telephone_number": "661-835-1104",
            "fax_number": "661-835-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WIBLE RD",
            "address_2": "SUITE I",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044137",
            "telephone_number": "661-835-1104",
            "fax_number": "661-835-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI & LIAO OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "DAWSON",
        "authorized_official_middle_name": "TO-SANG",
        "authorized_official_title_or_position": "PRESIDENT / OPTOMETRIST",
        "authorized_official_telephone_number": "661-835-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.