Organization Active NPI

Liberty Eye Center LLC

  • Ophthalmology Physician
  • Liberty Township, OH
National Provider Identifier
1033893664
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LIBERTY EYE CENTER LLC
Practice address
7185 Liberty Centre Dr Ste D
Liberty Township, OH 45069-6586
Phone
(513) 443-2506
Fax
(432) 999-9256
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael B YangNPI 1609800077
Title
Owner
Phone
(513) 636-4751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

7185 Liberty Centre Dr Ste D
Liberty Township, OH 45069-6586

Mailing address

7185 Liberty Centre Dr Ste D
Liberty Township, OH 45069-6586

Other names 1

  • Mason Eye Institute, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231031000834 OH Part B Supplier - Clinic/Group Practice 0345696118 Receives reassigned benefits from 1 practitioner
Practice locations: Liberty Township, OH

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: myang@yangmd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1033893664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 LIBERTY CENTRE DR STE D",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450696586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 LIBERTY CENTRE DR STE D",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450696586",
            "telephone_number": "513-443-2506",
            "fax_number": "432-999-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-636-4751"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Eye Institute, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.