Randall Ardell Liebe in Fairfield - Optometrist

Randall Ardell Liebe - NPI 1699746644

Randall Ardell Liebe is a Optometrist in Fairfield, Iowa. Randall Ardell Liebe practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Randall Ardell Liebe is 1699746644. The last update date is 2010-07-26.

Randall Ardell Liebe's current location address is 122 N Court St, Fairfield, Iowa. You can contact this provider via phone number 6414726694 and fax number 6414725979. The mailing address for Randall Ardell Liebe is 122 N Court St, Fairfield, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Ardell Liebe
Address 122 N Court St, Fairfield, Iowa
Phone Number 6414726694
Fax Number 6414725979
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1699746644
Provider Enumeration Date 2006-01-29
Last Updated Date 2010-07-26

Provider Mailing Address Detail

Address 122 N Court St
City Fairfield
State Iowa (IA)
Post Code 525562815
Phone Number 6414726694
Fax Number 6414725979

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1879
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
410020712 IA RAILROAD MEDICARE
26496 IA BLUE CROSS BLUE SHIELD
264960 IA --

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FAQs about Randall Ardell Liebe

What is the unique identifier code issued to Randall Ardell Liebe by the Centers for Medicare & Medicaid Services (CMS)?

The Randall Ardell Liebe has been assigned the NPI (National Provider Identifier) 1699746644. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Randall Ardell Liebe is located?

The Randall Ardell Liebe is situated at the following address: 122 N Court St, Fairfield, IA, 525562815.

What is Randall Ardell Liebe's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Randall Ardell Liebe's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did the Randall Ardell Liebe receive the assignment of its 1699746644 from the Centers for Medicare & Medicaid Services?

The Randall Ardell Liebe was issued its 1699746644 by the Centers for Medicare & Medicaid Services on 2006-01-29.

When was the Randall Ardell Liebe's information last updated?

The Randall Ardell Liebe's information was last updated on 2010-07-26.

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