Organization Active NPI

Eye Care Northwest PA

Doing business as Jeffrey Liegner, MD

  • Health Service Clinic/Center
  • Ontario, OR
National Provider Identifier
1083743447
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EYE CARE NORTHWEST PA
Doing business as
Jeffrey Liegner, MD
Practice address
251 SW 19TH St
Ontario, OR 97914-1972
Phone
(208) 639-2542
Fax
(201) 300-0138
NPI assigned
Mar 3, 2007
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Jeffrey Todd Liegner, MD
Title
Medical Director
Phone
(208) 639-2542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

251 SW 19TH St
Ontario, OR 97914-1972

Mailing address

2663 E Parkriver Dr
Boise, ID 83706-6083
Phone (208) 639-2542

Other practice location 1

2620 S Eagle Rd
Meridian, ID 83642-6704
Phone (208) 639-2542

Other names 1

  • Jeffrey Liegner, MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1083743447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 E PARKRIVER DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066083",
            "telephone_number": "208-639-2542",
            "fax_number": "201-300-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 SW 19TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141972",
            "telephone_number": "208-639-2542",
            "fax_number": "201-300-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 S Eagle Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426704",
            "country_code": "US",
            "telephone_number": "208-639-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE CARE NORTHWEST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "LIEGNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-639-2542",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey Liegner, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeffrey Liegner, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.