LIEBLONG EYE CLINIC, PA
NPI 1710167143
Durable Medical Equipment & Medical Supplies - Customized Equipment in Russellville, AR
About Lieblong Eye Clinic, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIEBLONG EYE CLINIC, PA (NPI 1710167143) is a healthcare organization registered as a customized equipment in Russellville, Arkansas and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through September 30, 2028 and lists Chloe Lieblong, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lieblong Eye Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lieblong Eye Clinic, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D1093968
Lieblong Eye Clinic · Russellville, ARMedical Equipment Supplier Medicare DMEPOS
Medicare supplier enrollment and the product categories Lieblong Eye Clinic carries, from the Medicare DMEPOS supplier directory.
Lieblong Eye Clinic
DMEPOS supplier · Russellville, AROperated by Lieblong Eye Clinic PAAccepts Medicare assignment
Lieblong Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Lieblong Eye Clinic, PA's NPI number?
The NPI number for Lieblong Eye Clinic, PA is 1710167143. It was assigned to this organization in the NPPES registry on November 14, 2007.
Where is Lieblong Eye Clinic, PA located?
Lieblong Eye Clinic, PA is located at 2800 W Main St, Russellville, AR 72801. The listed phone number is (479) 968-2020.
What is Lieblong Eye Clinic, PA's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.
Is Lieblong Eye Clinic, PA enrolled in Medicare?
Yes. Lieblong Eye Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lieblong Eye Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Lieblong Eye Clinic, PA. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lieblong Eye Clinic, PA accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Lieblong Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Lieblong Eye Clinic, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1093968) is associated with this NPI, valid through September 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lieblong Eye Clinic, PA was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lieblong Eye Clinic, Pa · NPI 1710167143
Customized Equipment organization in Russellville, Arkansas. Organization record, active in the CMS NPPES registry since November 14, 2007.
## Identity
- **NPI:** 1710167143 (Entity type: Organization)
- **Enumerated:** November 14, 2007
- **Primary specialty:** Durable Medical Equipment & Medical Supplies - Customized Equipment · taxonomy 332BC3200X
- **Organization subpart:** No
- **Authorized official:** Chloe Lieblong, OFFICE MANAGER
## Practice location
- **Address:** 2800 W MAIN ST, Russellville, AR 72801-2449
- **Phone:** (479) 968-2020 · **Fax:** (479) 968-8803
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2011
- **Other identifiers:** Other 16617000041 (AR); Medicaid 103901722 (AR); Medicare NSC 0269470001 (AR); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710167143) · Data from the CMS NPPES public registry.