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LIEBLONG EYE CLINIC, PA
NPI 1710167143
Durable Medical Equipment & Medical Supplies - Customized Equipment in Russellville, AR

Active since November 14, 2007CLIA 04D1093968 · Waiver
2800 W MAIN ST, RUSSELLVILLE, AR 72801(479) 968-2020(479) 968-8803 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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, 2026 and lists Chloe Lieblong, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710167143
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameLIEBLONG EYE CLINIC, PA
Location Address2800 W MAIN STRussellville, AR 72801-2449
Mailing Address2800 W Main StRussellville, AR 72801-2449 · (479) 968-2020 · Fax (479) 968-8803
Phone(479) 968-2020
Fax(479) 968-8803
Organization SubpartNo
Authorized OfficialChloe LieblongOffice Manager · (479) 968-2020
Enumeration DateNovember 14, 2007
Last NPPES UpdateMay 12, 2011
✔ NPI 1710167143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in AR · 2265
2800 W MAIN ST, Russellville, AR 72801
Open in Google Maps ↗

Other Identifiers 6

Other16617000041AR · Qual Choice
Medicaid103901722AR
Medicare NSC0269470001AR
Other410014279AR · Railroad Retirement
Medicare PIN49128AR
Medicare UPINT20280AR

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, AR
Active · expires Sep 30, 2026
CLIA Number04D1093968
Laboratory TypeOptometric Physician
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Jim B. Lieblong
Laboratory Phone(479) 968-2020
Laboratory LocationLieblong Eye Clinic2800 West Main, Russellville, AR 72801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical 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 PA
✔

Accepts 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.

PTAN (Medicare Supplier Number)20660213
Medicare Participant SinceJanuary 1, 1998
Supplier Location2800 W Main StRussellville, AR 72801
Phone(479) 968-2020
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

DR. ERYN LEWIS O.D.
Optometrist
2800 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 968-2020

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.

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, 2026. 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.