Lieberman & Lieberman Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIEBERMAN & LIEBERMAN OPTOMETRY, PLLC

Doing business as

St. Pauls Vision Center

Practice address

327 S 5TH St
Saint Pauls, NC 28384-1741

Phone

(910) 865-9800

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Garrett

Title

Office MGR

Phone

(910) 865-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Pauls Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lieberman & Lieberman Optometry, PLLC

  • Optometrist
  • Fayetteville, NC
  • NPI 1558302067

  O20050502000420

  Same enrollment

Locations

Practitioners 2

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

• Ann K. Lieberman, O.D.

  • Optometrist
  • Fayetteville, NC
  • NPI 1770519514
  Medicare reassignment Care Compare group NPD
• Nathan A. Lieberman, O.D.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336181643
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1821139387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S 5TH ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841741",
            "telephone_number": "910-865-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S 5TH ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841741",
            "telephone_number": "910-865-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBERMAN & LIEBERMAN OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "910-865-9800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890144Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0144Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Pauls Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Hunt
• Ashokkumar Chatarmalji Jain, M.D.
• Kerr Drug Inc
• Kidzcare Pediatrics, PC
• KNB Freight Pros, LLC
• Living at Peace, PLLC
• Lexie Locklear
• Melissa A Locklear, LCSW
• Amber Nicole Long, DMD
• Tammy Tyndall Long, RPH

• Optometrist in Saint Pauls, NC
• Providers in Saint Pauls, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.