NPIMap

Organization Active NPI

Dr Craig Liebig O D Inc

  • Optometrist
  • Clarksburg, WV
National Provider Identifier
1477623312
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WV743OD Issued in WV
Legal business name
DR CRAIG LIEBIG O D INC
Practice address
538B Emily Dr
Clarksburg, WV 26301-5507
Phone
(304) 566-7709
Fax
(304) 566-4396
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Craig A Liebig, OD
Title
President
Phone
(304) 566-7709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X WV743OD WV Primary

Addresses

Primary practice location

538B Emily Dr
Clarksburg, WV 26301-5507

Mailing address

538B Emily Dr
Clarksburg, WV 26301-5507
Phone (304) 566-7709

National Provider Directory

National Provider Directory

Locations

538 Emily Dr
#B
Clarksburg, WV 26301
Phone (304) 566-7709

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1477623312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538B EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015507",
            "telephone_number": "304-566-7709",
            "fax_number": "304-566-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538B EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015507",
            "telephone_number": "304-566-7709",
            "fax_number": "304-566-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CRAIG LIEBIG O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "LIEBIG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-566-7709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV743OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.