Active NPI
Liberty Eye Care LLC
- Optometrist
- Athens, TN
National Provider Identifier
1154112977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LIBERTY EYE CARE LLC
- Practice address
- 1815 Decatur Pike
Athens, TN 37303-4932 - Phone
- (423) 745-5100
- Fax
- (423) 815-1554
- NPI assigned
- May 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Selander, OD
- Title
- Owner
- Phone
- (423) 745-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1815 Decatur Pike
Athens, TN 37303-4932
Mailing address
1815 Decatur Pike
Athens, TN 37303-4932
Phone (423) 745-5100
Other names 1
- LIBERTY EYE CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250619001044 | TN | Part B Supplier - Clinic/Group Practice | 4587175120 | Practice locations: Athens, TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1154112977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 DECATUR PIKE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373034932",
"telephone_number": "423-745-5100",
"fax_number": "423-815-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 DECATUR PIKE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373034932",
"telephone_number": "423-745-5100",
"fax_number": "423-815-1554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-13",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "SELANDER",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-745-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LIBERTY EYE CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LIBERTY EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.