Individual provider Active NPI

Michelle Liebert, M.D.

  • Ophthalmology Physician
  • Smithtown, NY
National Provider Identifier
1306817549
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
211720-1 Issued in NY
Practice address
260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2982
Phone
(631) 265-8780
NPI assigned
Jan 27, 2006
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 211720-1 NY Primary

Addresses

Primary practice location

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2982

Mailing address

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2982
Phone (631) 265-8780

Other identifiers 1

IdentifierTypeStateIssuer
02323339MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000314 NY Practitioner - Ophthalmology 2769443456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 109
Smithtown, NY 11787-2923
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211720-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Mar 15, 2015 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Mar 15, 2015 Accepting new patients
North Shore Medical & Surgical Eye Care PC Ophthalmology PastSince Mar 4, 2012 Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients
Medical Surgical Eye Care Services, PC Past Accepting new patients

Locations

805 Broadway
Ste 106
Amityville, NY 11701
Phone (631) 957-3355

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

250 Patchogue Yaphank Rd
Ste 1
East Patchogue, NY 11772
Phone (631) 289-0678

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

5515 Little Neck Pkwy
Ste L10
Little Neck, NY 11362
Phone (718) 352-6200

114 E 27th St
New York, NY 10016
Phone (212) 481-4000

54 Commerce Ave
Ste 6
Riverhead, NY 11901

260 E Middle Country Rd
Ste 109
Smithtown, NY 11787
Phone (631) 361-3577

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1306817549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD",
            "address_2": "SUITE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-265-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD",
            "address_2": "SUITE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-265-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERT",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "211720-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02323339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.