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ALTA M LEBECK L.D.O.
NPI 1093128050
Technician/Technologist - Optician in Tifton, GA

Active since June 07, 2014PECOS Enrolled
363 MAIN ST S, TIFTON, GA 31794(229) 382-4441(229) 386-0211 Get Directions Write a Review

NPPES record last updated: June 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alta M Lebeck L.d.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTA M LEBECK L.D.O. (NPI 1093128050) is an individual optician in Tifton, Georgia, licensed in Georgia (LDO002502) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093128050
Entity TypeIndividualFemale
Primary Taxonomy156FX1800X
Provider Legal NameALTA M LEBECKCredential: L.D.O.
Location Address363 MAIN ST STifton, GA 31794-4813
Mailing Address363 Main St STifton, GA 31794-4813 · (229) 382-4441 · Fax (229) 386-0211
Phone(229) 382-4441
Fax(229) 386-0211
Sole ProprietorNo
Enumeration DateJune 7, 2014
✔ NPI 1093128050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in GA · LDO002502
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
363 MAIN ST S, Tifton, GA 31794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alta M Lebeck L.d.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SANDRA DAY L.D.O
Technician/Technologist (Optician)
363 MAIN ST S, TIFT EYE CARE
TIFTON, GA 31794
Tift County (229) 382-4441
TIFT EYE CARE, LLC
Eyewear Supplier
363 MAIN ST S
TIFTON, GA 31794
Tift County (229) 382-4441
TIFT EYE CARE
Eyewear Supplier
363 MAIN ST S
TIFTON, GA 31794
Tift County (229) 382-4441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alta Lebeck's NPI number?

The NPI number for Alta Lebeck is 1093128050. It was assigned to this individual provider in the NPPES registry on June 7, 2014.

Where is Alta Lebeck located?

Alta Lebeck practices at 363 Main St S, Tifton, GA 31794. The listed phone number is (229) 382-4441.

What is Alta Lebeck's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Is Alta Lebeck enrolled in Medicare?

Yes. Alta Lebeck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alta Lebeck was last updated on June 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.