Dr Kevin Liberman, OD | |
32987 Woodward Ave, Royal Oak, MI 48073-0958 | |
(248) 549-9080 | |
Not Available |
Full Name | Dr Kevin Liberman |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 32987 Woodward Ave, Royal Oak, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548611148 | NPI | - | NPPES |
5330001230 | Other | MI | CONTROLLED SUBSTANCE LICENSE |
4901004987 | Other | MI | OPTOMETRY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004987 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Point Optical Group | 9032491246 | 19 |
Provider Name | Detroit Optical Co |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740278357 PECOS PAC ID: 1254497100 Enrollment ID: O20090302000643 |
Provider Name | West Point Optical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831548890 PECOS PAC ID: 9032491246 Enrollment ID: O20170124001437 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Liberman, OD 32987 Woodward Ave, Royal Oak, MI 48073-0958 Ph: (248) 549-9080 | Dr Kevin Liberman, OD 32987 Woodward Ave, Royal Oak, MI 48073-0958 Ph: (248) 549-9080 |
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