DR. PETER J LIBERTO (NPI# 1396730453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396730453 |
| Entity Type | Individual |
| Full Name | DR. PETER J LIBERTO |
| Credential | O.D. |
| Practice Address |
145 Newport Ave Pawtucket RI 02861-4107 |
| Practice Telephone | 4017290200 |
| Practice Fax Number | 4017290222 |
| Mailing Telephone | 4017290200 |
| Mailing Fax Number | 4017290222 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 434T | RI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NEIGHBORHOOD HEALTH | 2804 | 01 |
| RI | BLUE CROSS | 7848-3 | 01 |
| RI | BLUE CHIP | 004369 | 01 |
| RI | 9007948 | 05 | |
| RI | UNITEDHEALTHCARE | 22-00053 | 01 |
| Street Address |
145 NEWPORT AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02861-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525209 | Brianna Laurila | Dietitian, Registered | 541 Cottage Street, Pawtucket, RI 02861 | 2016-09-01 |
| 1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
| 1356359293 | Anita N Vasvani | Dentist | 140 Newport Ave, Pawtucket, RI 02861 | 2006-08-04 |
| 1548294408 | Stop and Shop Supermarket Co LLC | Pharmacy | 368398 Cottage Street, Pawtucket, RI 02861 | 2006-07-10 |
| 1154363695 | Levis M Guzman | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861 | 2006-06-11 |
| 1942313929 | Abbas Ghorieshi | Dentist | 115 Newport Ave, Pawtucket, RI 02861 | 2006-08-16 |
| 1114499506 | Arts, Sports, and Technology Resource Organization | Poetry Therapist | 175 Coyle Ave, Pawtucket, RI 02861-1007 | 2018-12-22 |
| 1235600255 | Abdoulaye Soumahoro | Driver | 68 Webster St, Pawtucket, RI 02861-1016 | 2018-12-17 |
| 1376761544 | Professional Internal Medicine Associates Inc | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861-1024 | 2007-04-23 |
| 1326665472 | Jessica Hartman | Registered Nurse | 120 Webster St, Pawtucket, RI 02861-1168 | 2020-07-06 |
| Find all providers in zip 02861 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427364157 | Mona Klibanoff | Optometrist | 55 Broad St, Pawtucket, RI 02860-2023 | 2010-08-18 |
| 1629172366 | Robert Alexander Macbeth | Optometrist | 172 Armistice Blvd, Pawtucket, RI 02860-3219 | 2006-09-12 |
| 1023077898 | Jonathan D Kaplan | Optometrist | 2 Dexter St, Pawtucket, RI 02860-2926 | 2006-03-21 |
| 1275501421 | David Klibanoff | Optometrist | 121 Broad St, Pawtucket, RI 02860-2053 | 2006-03-12 |
| 1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
| 1790177400 | Anne F Kiernan | Optometrist | 2 Dexter St, Pawtucket, RI 02860-2996 | 2015-03-04 |
| 1114271053 | Glenn S. Prescod, M.d., M.p.h., Inc. | Optometrist | 333 School St, Suite 301, Pawtucket, RI 02860-5334 | 2012-10-30 |
| 1053611996 | Benjamin D Klibanoff | Optometrist | 55 Broad St, Pawtucket, RI 02860-2023 | 2010-10-26 |
| 1528373743 | Klibanoff Eye Associates Ltd | Optometrist | 121 Broad St, Pawtucket, RI 02860-2053 | 2010-08-12 |
| 1437290889 | The Eyeglass Store Inc | Optometrist | 2 Dexter St, Pawtucket, RI 02860-2991 | 2007-02-09 |
| Find all providers in PAWTUCKET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.