Provider Demographics
NPI:1043432776
Name:LIAW, NANCY NAN-YIN (OD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:NAN-YIN
Last Name:LIAW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 E QUEEN CREEK RD
Mailing Address - Street 2:STE. #2
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-2017
Mailing Address - Country:US
Mailing Address - Phone:480-895-2020
Mailing Address - Fax:480-699-6724
Practice Address - Street 1:1815 E QUEEN CREEK RD
Practice Address - Street 2:STE. #2
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-2017
Practice Address - Country:US
Practice Address - Phone:480-895-2020
Practice Address - Fax:480-699-6724
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1010 (439)152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ490886Medicare UPIN