Tony C Lieu (NPI# 1861417842, PAC ID# 8123055183) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1861417842 |
PAC ID by PECOS | 8123055183 |
Professional Enrollment ID | I20050720001218 |
Full Name | Tony C Lieu |
Address |
3833 Bedford Canyon Rd C101 Corona CA 92883-0788 |
Gender | M |
Credential | OD |
Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
Graduation Year | 2002 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3833 Bedford Canyon Rd, C101, Corona, CA 92883-0788 |
Street Address |
3833 BEDFORD CANYON RD C101 |
City | CORONA |
State | CA |
Zip | 92883-0788 |
City | CORONA |
Zip Code | 92883 |
Specialty | OPTOMETRY |
City + Specialty | CORONA + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.