MEDICARE: DR. JANE LIANG O.D.

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
1	152W00000X	Optometrist	11266T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13690	OTHER	CA	MEDICAL EYE SERVICES
2	4049	OTHER	CA	SUPERIOR VISION
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	CA1266	OTHER	CA	EYE MED
5	FV25028	OTHER	CA	SPECTERA
6	49807	OTHER	CA	DAVIS VISION
7	6263304115	OTHER	CA	VISION SERVICE PLAN

General Provider Information

NPI Number	:	1083767164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE LIANG O.D.

Provider Business Mailing Address
First Line	:	2115 S HACIENDA BLVD
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-4243
Country	:	US
Telephone Number	:	626-330-4115
Fax Number	:	626-330-4116

Provider Business Practice Location Address
First Line	:	2115 S HACIENDA BLVD
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-4243
Country	:	US
Telephone Number	:	626-330-4115
Fax Number	:	626-330-4116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	01/12/2009

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Directions to “ DR. JANE LIANG O.D.” Practice Location

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