1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Optometrist
  6. NPI Profile

BIVIANA LIE OD
NPI 1639910094
Optometrist in Houston, TX

Active since June 01, 2024PECOS Enrolled
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204(713) 743-2020 Get Directions Write a Review

NPPES record last updated: June 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Biviana Lie Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIVIANA LIE OD (NPI 1639910094) is an individual optometrist in Houston, Texas, licensed in Texas (11129T) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2020).

NPPES Registry Identity

NPI1639910094
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameBIVIANA LIECredential: OD
Location Address4401 MARTIN LUTHER KING BLVDHouston, TX 77204-3069
Mailing Address6626 E Bonita CtOrange, CA 92867-6421
Phone(713) 743-2020
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2020
Enumeration DateJune 1, 2024
NPPES CertifiedJune 1, 2024
✔ NPI 1639910094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 11129T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4401 MARTIN LUTHER KING BLVD, Houston, TX 77204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Biviana Lie Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547704389
PECOS Enrollment IDI20250414002459
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Biviana Lie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Total Vision PC
1,303 mi
Optometrist
11717 BERNARDO PLAZA CT STE 105
San Diego, CA 92128
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
NPI 1356813711 (858) 487-5555
Michael W Hansen Od Inc
1,383 mi
Optometrist
310 AVENUE I
Redondo Beach, CA 90277
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1245653617 (310) 373-3191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNYFFER SMITH OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
SARAH SACHIKO TAKENAKA OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-1921
ANNA-KAYE LOGAN OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
JASMINE NGUYEN
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
ASHTON CLAIRE WESTBROOK OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
DR. JOE LEONARD WHEAT O.D.
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
KIM SON DUONG OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
DR. NICOLE ALEXANDRA KARSON OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Biviana Lie's NPI number?

The NPI number for Biviana Lie is 1639910094. It was assigned to this individual provider in the NPPES registry on June 1, 2024.

Where is Biviana Lie located?

Biviana Lie practices at 4401 Martin Luther King Blvd, Houston, TX 77204. The listed phone number is (713) 743-2020.

What is Biviana Lie's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Biviana Lie enrolled in Medicare?

Yes. Biviana Lie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Biviana Lie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Biviana Lie reassigns Medicare benefits to 2 organizations: Total Vision PC (San Diego, CA) and Michael W Hansen Od Inc (Redondo Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Biviana Lie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Biviana Lie accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Biviana Lie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Biviana Lie was last updated on June 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.