DR. KEVIN LIBERMAN (NPI# 1548611148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548611148 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LIBERMAN |
| Credential | O.D. |
| Practice Address |
32987 Woodward Ave Royal Oak MI 48073-0958 |
| Practice Telephone | 2485499080 |
| Mailing Telephone | 2485499080 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004987 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OPTOMETRY LICENSE | 4901004987 | 01 |
| MI | CONTROLLED SUBSTANCE LICENSE | 5330001230 | 01 |
| Street Address |
32987 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278357 | Detroit Optical Co | Eyewear Supplier (Equipment, not the service) | 32987 Woodward Ave, Royal Oak, MI 48073-0958 | 2005-10-07 |
| 1740320027 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 32987 Woodward Ave, Royal Oak, MI 48073-0958 | 2007-02-07 |
| 1477609667 | Hal Learman | Optometrist | 32987 Woodward Ave, Royal Oak, MI 48073-0958 | 2007-01-28 |
| 1053492900 | Michael B Liberman | Optometrist | 32987 Woodward Ave, Royal Oak, MI 48073-0958 | 2006-10-18 |
| 1497743108 | Kenneth B Foon | Optometrist | 32987 Woodward Ave, Royal Oak, MI 48073-0958 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| 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 |
|---|---|---|---|---|
| 1962628479 | Andrea Nielsen | Optometrist | 3535 W 13 Mile Rd Ste 555, Royal Oak, MI 48073-6770 | 2007-04-17 |
| 1205955515 | Fashion Eyeglass Inc. | Optometrist | 32756 Woodward Ave, Royal Oak, MI 48073-0953 | 2007-03-28 |
| 1134279037 | Marlene Shayota | Optometrist | 30262 Woodward Ave, Royal Oak, MI 48073-0994 | 2007-01-11 |
| 1689024333 | Gincy George | Optometrist | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2016-06-14 |
| 1578973814 | Christopher Walsh | Optometrist | 3535 W 13 Mile Rd, 741, Royal Oak, MI 48073-6770 | 2014-05-07 |
| 1205145729 | Chorney Eyecare, Pllc | Optometrist | 817 N Main St, Royal Oak, MI 48067-1837 | 2010-10-01 |
| 1215197587 | Kathryn Anne Baruch | Optometrist | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2008-06-11 |
| 1104031012 | William Beaumont Hosptial | Optometrist | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-05-14 |
| 1801012224 | Susan Hahn | Optometrist | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-04-17 |
| 1598891772 | Patrick F Lyons | Optometrist | 817 N Main St, Royal Oak, MI 48067-1837 | 2007-02-24 |
| Find all providers in ROYAL OAK | ||||
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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.