Michael B Liberman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002916 Issued in MI

Practice address

32987 Woodward Ave
Royal Oak, MI 48073-0958

Phone

(248) 549-9080

Fax

(248) 549-4770

NPI assigned

Oct 18, 2006

Last updated

Mar 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Point Optical Group

  • Optometrist
  • Rochester Hills, MI
  • NPI 1770953390
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1053492900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32987 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730958",
            "telephone_number": "248-549-9080",
            "fax_number": "248-549-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32987 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730958",
            "telephone_number": "248-549-9080",
            "fax_number": "248-549-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3318533",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "4901002916",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wei Li, M.D.
• Xin Li, MD
• Yanliang Li, MD, PHD
• Ying Li, MD
• Kevin Liberman, O.D.
• Christine Licari
• Michael R. Licata, CRNA
• Rochelle Rotblatt Lieberman, MA, CCC-SLP
• Elizabeth Lieblang, M.S., CF-SLP
• Lighthouse Counseling Services, LLC

• Optometrist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.