Dr. Timothy Joseph Lieberenz, OD
Optometrist in White City, OR. Individual provider (NPI-1).
NPI number1205613783
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1205613783
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Joseph Lieberenz
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2023
- Certification date
- Sep 9, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | ATI4707 | OR | Yes |
Practice location
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
Mailing address
Po Box 1082Merlin, OR 97532-1082
Phone 541-279-4792
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in White City, OR
- Shelly Rae Adams, O.D.NPI 1396908075
- Mark Alan Ostermeier, O.D.NPI 1154334720
- Kiana M Saqr, ODNPI 1023666526
- Michael John Somogyi, O.D.NPI 1376736306
- Zachary Willits, ODNPI 1578170387
All 6 Optometrist providers in White City · All 349 providers in White City
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.