MR. JAN LIBERATORE
NPI 1417004664
Technician/Technologist - Optician in Horseheads, NY

Active since January 03, 2007
2751 WESTINGHOUSE RD, HORSEHEADS, NY 14845(607) 739-0325 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Technician/Technologist
  • Optician

About JAN LIBERATORE

This page provides the complete NPI Profile along with additional information for Jan Liberatore, a provider established in Horseheads, New York with a medical specialization in Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1417004664 assigned on January 2007. The practitioner's primary taxonomy code is 156FX1800X with license number C004009-1 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1417004664 Verify this NPI
Provider Name
MR. JAN LIBERATORE
Gender
Male
Entity Type
Individual
Location Address
2751 WESTINGHOUSE RD HORSEHEADS, NY 14845
Location Phone
(607) 739-0325
Mailing Address
2751 WESTINGHOUSE RD HORSEHEADS, NY 14845
Mailing Phone
(607) 739-0325
Is Sole Proprietor?
Yes
Enumeration Date
01-03-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician/Technologist Optician

Taxonomy Code
156FX1800X
Type
Eye and Vision Services Providers
License No.
C004009-1
License State
NY
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0643720001MEDICARE ID-TYPE UNSPECIFIED (04) 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Eyewear Supplier
2751 WESTINGHOUSE RD
HORSEHEADS, NY 14845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417004664, enumerated as an "individual" on January 03, 2007.

The provider is located at 2751 WESTINGHOUSE RD HORSEHEADS, NY 14845 and the phone number is (607) 739-0325.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.