National Provider Identifier Database

JIM B LIEBLONG, OD – NPI #1750378691
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.


Contact Information

JIM B LIEBLONG, OD
2800 W MAIN
RUSSELLVILLE, AR72801
Phone: 479-968-2020
Fax: 479-968-8803
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JIM B LIEBLONG

NPI Number 1750378691
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/05/2005
Last updated 05/11/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • AR License #: 2265
  • AR Medicaid: 103901722
  • AR Other: 16617000041 QUALCHOICE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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