Angelica Polizzi-Libertowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006883 Issued in OH

Practice address

3609 Medina Rd
Medina, OH 44256-8181

Phone

(330) 722-1313

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renuvision IncGroup PAC ID 0345478970, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renuvision, Inc.

  • Specialist
  • Medina, OH
  • NPI 1588092621

  Optometrist

  Medicare reassignment Care Compare group NPD
• Trepke Vision Care, Inc.

  • Optometrist
  • Strongsville, OH
  • NPI 1023341336
  Medicare reassignment NPD
• Excellence in Eye Care

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1790738813

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1215550322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7653 TRENTON TRL",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306821",
            "telephone_number": "440-521-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568181",
            "telephone_number": "330-722-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZZI-LIBERTOWSKI",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Pierpoint, PRS
• Andrea Pinter, LPN
• Nancy L Pitz, LPC
• Norman M. Pivovar, DDS
• Sheila Eileen Poland
• Megan Pollock, OTR/L
• Jennifer L Popovsky, M.D.
• Carolyn Marie Porcelli, RN
• Andrew E Porter
• Pamela Porter

• Optometrist in Medina, OH
• Providers in Medina, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.