Active NPI
Alan Leo Liberman, DISPENSING OPTICIAN
- Optician
- Desert Hot Springs, CA
National Provider Identifier
1033260203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D3425
- Practice address
- 14210 Palm Dr
Suite A2
Desert Hot Springs, CA 92240-6873 - Phone
- (760) 329-0528
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D3425 | CA | Primary |
Addresses
Primary practice location
14210 Palm Dr
Suite A2
Desert Hot Springs, CA 92240-6873
Mailing address
14210 Palm Dr
Suite A2
Desert Hot Springs, CA 92240-6873
Phone (760) 329-0528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX003425F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3425 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1033260203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14210 PALM DR",
"address_2": "SUITE A2",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922406873",
"telephone_number": "760-329-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14210 PALM DR",
"address_2": "SUITE A2",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922406873",
"telephone_number": "760-329-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERMAN",
"first_name": "ALAN",
"middle_name": "LEO",
"name_prefix": "Mr.",
"credential": "DISPENSING OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "D3425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DX003425F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Desert Hot Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.