Brett H Liesemeyer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02629 Issued in MO

Practice address

3403 W 10TH St
Sedalia, MO 65301-2112

Phone

(660) 826-6161

Fax

(660) 826-8197

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eyecare Specialties of Missouri LLC

  • Optometrist
  • Warrensburg, MO
  • NPI 1730596248
  Medicare reassignment

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1225117518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012112",
            "telephone_number": "660-826-6161",
            "fax_number": "660-826-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012112",
            "telephone_number": "660-826-6161",
            "fax_number": "660-826-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIESEMEYER",
        "first_name": "BRETT",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312338908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Rae Lefevers, MD
• Jonathan Kent Lefevers
• Cathy J Lewis, PLPC
• Lisa Michelle Lewis, LMSW
• Alecia Kimberly Liburd, PMHNP
• David V Limbaugh, D.C.
• Lincare Inc.
• Linda Roark Group Care
• Rick Burdette Longie, DC
• Courtney Luebbering, BCBA

• Optometrist in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.