Individual provider Active NPI

Jaye Alexandra Liberman, 0.D.

  • Optometrist
  • Fraser, MI
National Provider Identifier
1215388749
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004988 Issued in MI
Practice address
32925 Groesbeck Hwy
Fraser, MI 48026-3155
Phone
(586) 293-8888
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004988 MI Primary

Addresses

Primary practice location

32925 Groesbeck Hwy
Fraser, MI 48026-3155

Mailing address

39885 Grand River Ave
Ste 200
Novi, MI 48375-2150
Phone (248) 427-9620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180419000798 MI Practitioner - Optometry 1850654120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

33100 S Gratiot Ave
Clinton Township, MI 48035-4036
Phone (586) 294-0120

35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Aw Vision Farmington, PLLC Optometrist CurrentSince Nov 12, 2023 Accepting new patients
Triple L Optical PLLC Optometrist Current Accepting new patients
Pcor, LLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
West Point Optical Group Optometrist CurrentSince Dec 18, 2023 Accepting new patients
Gary S. Oppenheim, O.D., P.C. Optometrist PastSince Nov 12, 2023 Accepting new patients

Locations

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

33308 Grand River Ave
Farmington, MI 48336
Phone (248) 474-5125

1736 W Michigan Ave
Jackson, MI 49202
Phone (517) 789-7131

39885 Grand River Ave
Ste 200
Novi, MI 48375
Phone (248) 427-9602

2875 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 852-5230

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: jliberman@optimeyes.emadirect.md

Organizations & group practices 6

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1215388749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39885 GRAND RIVER AVE",
            "address_2": "STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752150",
            "telephone_number": "248-427-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32925 GROESBECK HWY",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263155",
            "telephone_number": "586-293-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "JAYE",
        "middle_name": "ALEXANDRA",
        "credential": "0.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.