LIEBLONG EYE CLINIC, PA
NPI 1710167143
Durable Medical Equipment & Medical Supplies - Customized Equipment in Russellville, AR
NPI Status: Active since November 14, 2007
Contact Information
2800 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-2020
Fax: (479) 968-8803
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 04D1093968
- CLIA Cert. Type: Other - OPTOMETRIC PHYSICIAN
- CLIA Exp. Date: 09-30-2026
About LIEBLONG EYE CLINIC, PA
This page provides the complete NPI Profile along with additional information for Lieblong Eye Clinic, Pa, a provider established in Russellville, Arkansas operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1710167143 assigned on November 2007. The practitioner's primary taxonomy code is 332BC3200X with license number 2265 (AR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mrs. Chloe Lieblong (Office Manager)
- NPI
- 1710167143
- Provider Name
- LIEBLONG EYE CLINIC, PA
- Entity Type
- Organization
- Location Address
- 2800 W MAIN ST RUSSELLVILLE, AR 72801
- Location Phone
- (479) 968-2020
- Location Fax
- (479) 968-8803
- Mailing Address
- 2800 W MAIN ST RUSSELLVILLE, AR 72801
- Mailing Phone
- (479) 968-2020
- Mailing Fax
- (479) 968-8803
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2007
- Last Update Date
- 05-12-2011
- Code Navigator
Lieblong Eye Clinic, Pa is a medicare supplier with PTAN 20660213 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.
Location Map
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
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
- License No.
- 2265
- License State
- AR
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 |
|---|---|---|---|
| 16617000041 | OTHER (01) | AR | QUAL CHOICE |
| 103901722 | MEDICAID (05) | AR | |
| 0269470001 | MEDICARE NSC (07) | AR | |
| 410014279 | OTHER (01) | AR | RAILROAD RETIREMENT |
| 49128 | MEDICARE PIN (08) | AR | |
| T20280 | MEDICARE UPIN (02) | AR |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20660213
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D1093968
- Facility Type
- Other - OPTOMETRIC PHYSICIAN
- Certificate Effective Date
- October 01, 2024
- Certificate Expiration Date
- September 30, 2026
- Laboratory Director
- DR. JIM B. LIEBLONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lieblong Eye Clinic, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1710167143, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710167143, enumerated as an "organization" on November 14, 2007.
The provider is located at 2800 W MAIN ST RUSSELLVILLE, AR 72801 and the phone number is (479) 968-2020.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
