| Dr Timothy Joseph Lieberenz, OD | |
|
8495 Crater Lake Hwy, White City, OR 97503-3011 | |
| (541) 826-2111 | |
| Not Available |
| Full Name | Dr Timothy Joseph Lieberenz |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 8495 Crater Lake Hwy, White City, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205613783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ATI4707 (Oregon) | Primary |
| Provider Name | Rainbow Optics, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992870604 PECOS PAC ID: 6406843598 Enrollment ID: O20040429000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Joseph Lieberenz, OD Po Box 1082, Merlin, OR 97532-1082 Ph: (541) 279-4792 | Dr Timothy Joseph Lieberenz, OD 8495 Crater Lake Hwy, White City, OR 97503-3011 Ph: (541) 826-2111 |
Kiana M Saqr, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Mark Alan Ostermeier, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 Fax: 541-830-3502 | |
Dr. Michael John Somogyi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Shelly Rae Adams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 503-881-7992 | |
Zachary Willits, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8495 Crater Lake Hwy Bldg 212, White City, OR 97503 Phone: 541-826-2111 |