NPIMap

Organization Active NPI

Liberty Eyecare, Inc.

  • Optometrist
  • Springdale, OH
National Provider Identifier
1417270752
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH4857 Issued in OH
Legal business name
LIBERTY EYECARE, INC.
Practice address
1100 E Kemper Rd
Springdale, OH 45246-3321
Phone
(513) 346-7952
Fax
(513) 346-4042
NPI assigned
Mar 1, 2010
Last updated
Feb 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Authorized official

Name
Timothy Allen Liette, ODNPI 1841399607
Title
President
Phone
(513) 257-6188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH4857 OH Primary

Addresses

Primary practice location

1100 E Kemper Rd
Springdale, OH 45246-3321

Mailing address

5542 Schlade CT
Liberty TWP, OH 45044-9037
Phone (513) 257-6188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582416000000",
    "number": "1417270752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 SCHLADE CT",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450449037",
            "telephone_number": "513-257-6188",
            "fax_number": "513-346-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E KEMPER RD",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463321",
            "telephone_number": "513-346-7952",
            "fax_number": "513-346-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A",
        "authorized_official_last_name": "LIETTE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-257-6188",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.