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NPI Code Detail

MEDICARE: CASSANDRA LIEW

MEDICARE:   CASSANDRA  LIEW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOP1000336DC
2152W00000XOptometristTUV008366NY
3152W00000XOptometristOEG003131PA

General Provider Information

NPI Number : 1336511765
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA LIEW
Provider Business Mailing Address
First Line : 1523 WALNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-3001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1523 WALNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-3001
Country : US
Telephone Number : 215-845-0987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2015
Last Update Date : 01/20/2017

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Directions to “ CASSANDRA LIEW ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.