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NPI Code Detail

MEDICARE: LIBERTY EYE CENTER LLC

MEDICARE: LIBERTY EYE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1033893664
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBERTY EYE CENTER LLC
Provider Business Mailing Address
First Line : 7185 LIBERTY CENTRE DR STE D
Second Line :
City : LIBERTY TOWNSHIP
State : OH
Zip : 45069-6586
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7185 LIBERTY CENTRE DR STE D
Second Line :
City : LIBERTY TOWNSHIP
State : OH
Zip : 45069-6586
Country : US
Telephone Number : 513-443-2506
Fax Number : 432-999-9256
Authorized Official
Title or Position : OWNER
Name : MICHAEL B YANG
Credential :
Telephone Number : 513-636-4751
Provider Enumeration Date : 06/14/2023
Last Update Date : 08/11/2023

Similar Medicare Providers

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Practice Location Address:
7185 LIBERTY CENTRE DR STE D
LIBERTY TOWNSHIP, OH
45069-6586
Practice Phone: 513-443-2506
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1033547492 — LINDA G CRAFT LISW
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1861846966 — JENNIFER SAPORITO LISW-S
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Practice Fax:
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Practice Location Address:
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Directions to “LIBERTY EYE CENTER LLC ” Practice Location

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