# LIBERTY CATARACT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225070527
- **Authorized official:** AMY M AMOS (ADMINISTRATOR)
- **Authorized official phone:** (816) 415-3003

## Contact information

- **Practice address:** 1100 W COLLEGE ST, LIBERTY, MO 64068-1119
- **Practice address phone:** (816) 415-3003
- **Practice address fax:** (816) 415-3993
- **Mailing address:** 1100 W COLLEGE ST, LIBERTY, MO 64068-1119
- **Mailing address phone:** (816) 415-3003
- **Mailing address fax:** (816) 415-3993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 139-11 | MO | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 05/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 509164901 | — | MO |