Jim B Lieblong is a Optometrist in Russellville, Arkansas. Jim B Lieblong practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jim B Lieblong is 1750378691. The last update date is 2011-05-11.
Jim B Lieblong's current location address is 2800 W Main, Russellville, Arkansas. You can contact this provider via phone number 4799682020 and fax number 4799688803. The mailing address for Jim B Lieblong is 2800 W Main, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim B Lieblong |
|---|---|
| Address | 2800 W Main, Russellville, Arkansas |
| Phone Number | 4799682020 |
| Fax Number | 4799688803 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1750378691 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 2800 W Main |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 72801 |
| Phone Number | 4799682020 |
| Fax Number | 4799688803 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2265 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103901722 | AR | -- | |
| 16617000041 | AR | QUALCHOICE |
Post Comment/ Review Below
What is the unique identifier code issued to Jim B Lieblong by the Centers for Medicare & Medicaid Services?
The Jim B Lieblong has been assigned the NPI (National Provider Identifier) 1750378691. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jim B Lieblong?
The Jim B Lieblong is situated at 2800 W Main, in the city of Russellville, state of AR, with the zip code 72801.
What is Jim B Lieblong's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jim B Lieblong is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date was the 1750378691 assigned to Jim B Lieblong?
The Jim B Lieblong was issued its 1750378691 on 2005-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jim B Lieblong's information last updated?
The Jim B Lieblong's information was last updated on 2011-05-11.
NPI Number: 1376546309
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