Organization Active NPI

Lieber Vision Center P.C.

  • Optometrist
  • Alton, IL
National Provider Identifier
1619339447
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007478 Issued in IL
Legal business name
LIEBER VISION CENTER P.C.
Practice address
401 Henry St
Alton, IL 62002-2610
Phone
(618) 465-6000
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. James Walter Lieber, O.D.NPI 1184731515
Title
Owner/Doctor of Optometry
Phone
(618) 465-6000

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046007478 IL Primary

Addresses

Primary practice location

401 Henry St
Alton, IL 62002-2610

Mailing address

401 Henry St
Alton, IL 62002-2610
Phone (618) 465-6000

Other identifiers 1

IdentifierTypeStateIssuer
400270955OtherILPTAN

National Provider Directory

National Provider Directory

Locations

401 Henry St
Alton, IL 62002
Phone (618) 465-6000

Practitioners & affiliated clinicians

Practitioners 1

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1619339447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HENRY ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620022610",
            "telephone_number": "618-465-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HENRY ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620022610",
            "telephone_number": "618-465-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBER VISION CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "LIEBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "618-465-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "400270955",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.