Lieberenz, Timothy Joseph

Lieberenz, Timothy Joseph is an individual health care provider with primary practice located at 8495 Crater Lake Hwy , White City OR 97503-3011. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lieberenz, Timothy Joseph can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy White City OR 97503-3011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ATI4707 Oregon

Profile Details

NPI number 1205613783
LBN Legal business name Lieberenz, Timothy Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2023
Last updated Sep 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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