Liberty Eyecare Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIBERTY EYECARE CORP

Practice address

11702 Liberty Ave
South Richmond Hill, NY 11419-1922

Phone

(718) 517-9191

Fax

(718) 129-9199

NPI assigned

Jul 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Boris Bangiyev, OWNER

Title

Owner

Phone

(718) 517-9191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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

• Marsha Stacy Fried, O.D.

  • Optometrist
  • Huntington Station, NY
  • NPI 1164571675
  Medicare reassignment NPD
• Anna Khesin, OD

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1912429226
  Medicare reassignment NPD
• Ian Price Olexio, OD

  • Optometrist
  • Jamaica, NY
  • NPI 1184392490
  Medicare reassignment NPD
• Fahmin Papia, OD

  • Optometrist
  • Kew Gardens, NY
  • NPI 1962185835
  Medicare reassignment NPD
• Marina Presman, DOCTOR OF OPTOMETRY

  • Optometrist
  • Jamaica, NY
  • NPI 1699243600
  Medicare reassignment NPD
• David M Weiss, OD

  • Optometrist
  • Jamaica, NY
  • NPI 1386605509
  Medicare reassignment NPD
• Michelle Williams, O.D.

  • Optometrist
  • Rahway, NJ
  • NPI 1346389459

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194247619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11702 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191922",
            "telephone_number": "718-517-9191",
            "fax_number": "718-129-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191922",
            "telephone_number": "718-517-9191",
            "fax_number": "718-129-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EYECARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BANGIYEV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-517-9191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty 786 Dentistry
• Liberty Adult Day Care LLC
• Liberty Advanced Medical, P.C.
• Liberty Chiropractic Healthe & Wellness, P. C.
• Liberty Dental Care P.C.
• Liberty Eyes Inc.
• Liberty Footcare, PLLC
• Liberty Footcare,PLLC
• Liberty Home Care Nurses Employment Agency Inc
• Liberty Home Care Nurses Employment Agency, Inc.

• Optometrist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.