Individual provider Active NPI

Anne Lieber, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1104855097
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006386 Issued in NY
Practice address
40 W 116TH St Apt B1005
New York, NY 10026-2980
Phone
(917) 526-1073
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006386 NY Primary

Addresses

Primary practice location

40 W 116TH St Apt B1005
New York, NY 10026-2980

Mailing address

40 W 116TH St Apt B1005
New York, NY 10026-2980
Phone (917) 526-1073

Other identifiers 1

IdentifierTypeStateIssuer
01672999MedicaidNY

Other names 1

  • Dr. Chana Anne Lieber Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000020 NY Practitioner - Optometry 6800841958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
East Harlem Council for Human Services IncGroup PAC ID 8628194842, 15 clinicians

Practice addresses (Care Compare)

2265 3Rd Ave
New York, NY 10035-2231
Phone 2122896650206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006386NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Harlem Council for Human Services Inc CurrentSince Oct 8, 2022 Accepting new patients
East Harlem Council for Human Services Inc CurrentSince Oct 8, 2022 Accepting new patients
Sunrise Vision and Eye Care LLC Optometrist CurrentSince Mar 15, 2023 Accepting new patients

Locations

4238 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-9532

2265 3rd Ave
New York, NY 10035
Phone (212) 289-6650

2253 3rd Ave
Fl 3
New York, NY 10035
Phone (212) 289-6650

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1104855097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 116TH ST APT B1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262980",
            "telephone_number": "917-526-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 116TH ST APT B1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262980",
            "telephone_number": "917-526-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANA ANNE",
            "last_name": "LIEBER",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.