Perry M Lieberman OD

Organization Active NPI Optometrist · Minerva, OH

NPI 1205081411 · NPPES record last updated Dec 2, 2008

Key facts

NPI
1205081411
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
3077 (OH)
Legal business name
PERRY M LIEBERMAN OD
Practice address
206 N Market St
Minerva, OH 44657-1616
Phone
(330) 868-5506
Fax
(330) 868-6483
NPI assigned
Dec 2, 2008
Organization subpart
No

Authorized official

Name
Dr. Perry M Lieberman, OD
Title
Owner
Phone
(330) 868-5506

Practitioners 1

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

National Provider Directory

Locations

206 N Market St
Minerva, OH 44657
Phone (330) 868-5506

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 3077 OH Yes

Addresses

Primary practice location

206 N Market St
Minerva, OH 44657-1616

Mailing address

206 N Market St
Minerva, OH 44657-1616
Phone (330) 868-5506

Other providers in Minerva, OH

All providers in Minerva, OH · Optometrist in Ohio

Sources for this page

Verify at the official NPI Registry.