Mark Ernest Liebetreu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP0002191 Issued in FL

Practice address

6091 S Pointe Blvd
Ft Myers, FL 33919-4899

Phone

(239) 466-2020

Fax

(239) 985-7118

NPI assigned

Oct 11, 2005

Last updated

Jul 17, 2025By 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 4

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

86.71

Improvement activities

20

Cost

76.12

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mark.liebetreu.p1@direct.theeyeassociates.nextgenshare.com

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.

• Eye Associates of Manatee, LLP

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1366483851
  Medicare reassignment Care Compare group NPD
• Eye Associates of Manatee LLP

  dba Eye Centers Of Florida

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1659091759
  NPD
• Eye Associates of Manatee LLP

  dba Eye Associates Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bradenton, FL
  • NPI 1568460889
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1639167943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 S POINTE BLVD",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339194899",
            "telephone_number": "239-466-2020",
            "fax_number": "239-985-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Del Prado Blvd N",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092702",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBETREU",
        "first_name": "MARK",
        "middle_name": "ERNEST",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620041900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "PG040",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "20537Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20537",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan V Lich, CCP
• Kathy Lichter, P.T.A.
• Maribeth Lichty, ACSW,LCSW,CAP
• Amanda Lidgard, DO
• Claude P Lieber, MD
• Fred A Liebowitz, M.D.
• Katherine Lietz, MD PHD
• Life Balance Counseling, LLC
• Life Movement, LLC
• Life Rehabilitation and Wellness Home Health Agency Inc

• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.