Joel M. Leibsohn, M.D., Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R7571 Issued in MO

Legal business name

JOEL M. LEIBSOHN, M.D., INC

Practice address

19101 E Valley View Pkwy
Suite D
Independence, MO 64055-6904

Phone

(816) 836-8166

Fax

(816) 836-3160

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By 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

Ms. Jeanette C Macfarlane

Title

Bussiness Office Manager

Phone

(816) 836-8166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1598027922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 E VALLEY VIEW PKWY",
            "address_2": "SUITE D",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556904",
            "telephone_number": "816-836-8166",
            "fax_number": "816-836-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 E VALLEY VIEW PKWY",
            "address_2": "SUITE D",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556904",
            "telephone_number": "816-836-8166",
            "fax_number": "816-836-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M. LEIBSOHN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MACFARLANE",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "816-836-8166",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R7571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Independence, MO
• Providers in Independence, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.