Jeffrey B. Lieberman, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 9292 TPL Issued in CA

Legal business name

JEFFREY B. LIEBERMAN, O.D., INC.

Doing business as

Advanced Optometrics

Practice address

1014 S Westlake Blvd
Suite 10
Westlake Village, CA 91361-3131

Phone

(805) 379-1555

NPI assigned

Jul 30, 2006

Last updated

Sep 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Bruce Lieberman, O.D.

Title

President

Phone

(805) 379-1555

Specialties & licenses 1

Addresses

Other names 1

• Advanced Optometrics Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1326053125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S WESTLAKE BLVD",
            "address_2": "SUITE 10",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613131",
            "telephone_number": "805-379-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S WESTLAKE BLVD",
            "address_2": "SUITE 10",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613131",
            "telephone_number": "805-379-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. LIEBERMAN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-379-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9292 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Optometrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.