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LIBERTY EYECARE CORP
NPI 1194247619
Optometrist in South Richmond Hill, NY

Active since July 17, 2017
11702 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 517-9191(718) 129-9199 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 17, 2017 (2 updates tracked since 2017).

About Liberty Eyecare Corp NPPES

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

LIBERTY EYECARE CORP (NPI 1194247619) is a healthcare organization registered as an optometrist in South Richmond Hill, New York and active in the NPI registry since July 2017. The organization lists Boris Bangiyev, Owner, as its authorized official.

NPPES Registry Identity

NPI1194247619
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIBERTY EYECARE CORP
Location Address11702 LIBERTY AVESouth Richmond Hill, NY 11419-1922
Mailing Address11702 Liberty AveSouth Richmond Hill, NY 11419-1922 · (718) 517-9191 · Fax (718) 129-9199
Phone(718) 517-9191
Fax(718) 129-9199
Organization SubpartNo
Authorized OfficialBoris BangiyevOwner · (718) 517-9191
Enumeration DateJuly 17, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1194247619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11702 LIBERTY AVE, South Richmond Hill, NY 11419
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Eyecare Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Liberty Eyecare Corp, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Anna Khesin, OD
Optometry
NPI 1912429226
12102 LIBERTY AVE
South Richmond Hill, NY 11419
(718) 835-3400
✔ PECOS0.2 mi
Fahmin Papia, OD
Optometry
NPI 1962185835
8511 126TH ST
Kew Gardens, NY 11415
(718) 849-7773
✔ PECOS1.3 mi
16111 JAMAICA AVE
Jamaica, NY 11432
(347) 249-3605
✔ PECOS✔ Accepts Medicare1.9 mi
Ian Olexio, OD
Optometry
NPI 1184392490
16415 JAMAICA AVE
Jamaica, NY 11432
(929) 218-7155
✔ PECOS2.1 mi
David Weiss, OD
Optometry
NPI 1386605509
165-01 JAMAICA AVE
Jamaica, NY 11432
(718) 523-0730
✔ PECOS2.1 mi
Marsha Fried, O.D.
Optometry
NPI 1164571675
259 WALT WHITMAN RD STERLING OPTICAL
Huntington Station, NY 11746
(631) 427-7300
✔ PECOS24 mi
Michelle Williams, O.D.
Optometry
NPI 1346389459
1535 IRVING ST
Rahway, NJ 07065
(732) 388-3900
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Liberty Eyecare Corp's NPI number?

The NPI number for Liberty Eyecare Corp is 1194247619. It was assigned to this organization in the NPPES registry on July 17, 2017.

Where is Liberty Eyecare Corp located?

Liberty Eyecare Corp is located at 11702 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 517-9191.

What is Liberty Eyecare Corp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Liberty Eyecare Corp enrolled in Medicare?

Yes. Liberty Eyecare Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Eyecare Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Liberty Eyecare Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Liberty Eyecare Corp accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Oscar Health list Liberty Eyecare Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Eyecare Corp was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.