Provider Demographics
NPI:1235239385
Name:INOUYE, LIANNE CHIEMI (OD)
Entity Type:Individual
Prefix:DR
First Name:LIANNE
Middle Name:CHIEMI
Last Name:INOUYE
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 1:3450 PALMER DR STE 5
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8273
Mailing Address - Country:US
Mailing Address - Phone:530-672-0151
Mailing Address - Fax:
Practice Address - Street 1:3450 PALMER DR STE 5
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8273
Practice Address - Country:US
Practice Address - Phone:530-672-0151
Practice Address - Fax:530-672-0530
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9266T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0092661Medicaid
CASD0092661Medicare PIN
CAU18818Medicare UPIN