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Charles Lieberman, O.D
NPI 1164537536 · on the registry since 2006 · sole proprietor
Practice
- Address
- 101 Highway 47 E
Troy, MO 63379 - Phone
- (636) 528-8960
- Fax
- (636) 528-8974
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri