Phyllis A Liu
Optometrist
264 Amity Rd Ste 212
Woodbridge
, Connecticut 06525-2200
Phyllis A Liu
Optometrist
264 Amity Rd Ste 212
Woodbridge
, Connecticut 06525-2200
(203) 387-0510
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Phyllis A Liu
- 264 Amity Rd Ste 212
- Woodbridge, CT
- Zip : 06525-2200
- Fax : (203) 387-0510
- Phone : (203) 387-0038
Second Address
- Phyllis A Liu
- 264 Amity Rd Ste 212
- Woodbridge, CT
- Zip : 06525-2200
- Fax : (203) 387-0510
- Phone : (203) 387-0038
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002161 | CT |
National Provider Identifier
| NPI | 1003996554 |
|---|---|
| Provider Name | Phyllis A Liu |
| First Address | Woodbridge, CT 06525-2200 |
| Second Address | Woodbridge, CT 06525-2200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U09000 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.