Provider Demographics
NPI:1588680912
Name:RUMSEY, LIANE M (OD)
Entity Type:Individual
Prefix:DR
First Name:LIANE
Middle Name:M
Last Name:RUMSEY
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 1:1389 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4636
Mailing Address - Country:US
Mailing Address - Phone:925-930-7484
Mailing Address - Fax:925-930-7469
Practice Address - Street 1:1389 N BROADWAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4636
Practice Address - Country:US
Practice Address - Phone:925-930-7484
Practice Address - Fax:925-930-7469
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA08610T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U70173Medicare UPIN
CASD0108610Medicare ID - Type Unspecified