Douglas Frederick Lieb, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME82424 Issued in FL

Practice address

1053 Medical Center Dr
Suite 251
Orange City, FL 32763-8260

Phone

(386) 456-0210

Fax

(386) 456-0219

NPI assigned

Jul 3, 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 FL

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

Specialty

Ophthalmology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dlieb@douglasliebmd.intellechartdirect.net

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.

• Douglas F Lieb MD LLC

  • Ophthalmology Physician
  • Orange City, FL
  • NPI 1598119919
  Medicare reassignment NPD Authorized official
• Filutowski Eye Institute PA

  • Ambulatory Surgical Clinic/Center
  • Daytona Beach, FL
  • NPI 1760594279
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1386673994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DR",
            "address_2": "SUITE 251",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638260",
            "telephone_number": "386-456-0210",
            "fax_number": "386-456-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DR",
            "address_2": "SUITE 251",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638260",
            "telephone_number": "386-456-0210",
            "fax_number": "386-456-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "DOUGLAS",
        "middle_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME82424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261933400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewis & Klancke Cardiology PA
• Lewis Connects
• Roshea Lewis, RPH
• LFCC, LLC
• Pei-Wen Liao, LAC
• Winston Edison Lightburn, MD
• Alfredo T Lim Jr., PA-C
• Menn Li Lin, P.T
• Wei-Hsin Lin
• Anna Lines, ARNP

• Ophthalmology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.