Organization
LIEBER VISION CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WALTER LIEBER O.D. (OWNER/DOCTOR OF OPTOMETRY)
(618) 465-6000
Entity
Organization
Contact information
Practice address
401 HENRY ST, ALTON, IL 62002-2610
(618) 465-6000
Mailing address
401 HENRY ST, ALTON, IL 62002-2610
(618) 465-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007478
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400270955
PTAN
IL
Enumeration date
03/22/2016
Last updated
03/22/2016
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