Justin Lieblong, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E-7491 Issued in AR

Practice address

123 North Van Buren
Little Rock, AR 72205

Phone

(501) 661-0450

Fax

(501) 661-9580

NPI assigned

May 16, 2008

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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 AR

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.35 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

74.51

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lieblong Eye Center

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1215362397
  Medicare reassignment NPD

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1427215623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NORTH VAN BUREN STREET",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-661-0450",
            "fax_number": "501-661-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NORTH VAN BUREN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-661-0450",
            "fax_number": "501-661-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBLONG",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-7491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118573002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery C Lichty
• Mercedes Colleen Lide, AUD, CCC-A
• Bryan Lieber, M.D.
• Lieblong Eye Center
• Daniel A. Lieblong, D.D.S.
• Pham Hieu Liem, MD
• Katie Lienhart
• Life Anew Therapy and Consulting, PLLC
• Life Health Counseling LLC (Anita Towne)
• Lifenet, Inc. (MedFlight)

• Ophthalmology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.