Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAN LIBERATORE
Active Sole ProprietorMR. JAN LIBERATORE is a Optician, Dispensing healthcare provider located in HORSEHEADS, New York. NPI 1417004664 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · HORSEHEADS, NY
Registration Details
- NPI Number
- 1417004664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.57741403008 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C004009-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2751 WESTINGHOUSE RDHORSEHEADS, NY, 148458100Browse NY providers · Browse ZIP 14845
- Phone
- 6077390325
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in HORSEHEADS, NY
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN JOSEPH BOHAC | OPTHALMIC DISPENSER | 1629284880 |
| TODD T RODABAUGH | — | 1205038965 |
| MR. CHARLES V GILMORE | O.P. | 1740480144 |
| MR. RICHARD S BUCHANAN | OPTICIAN | 1962739169 |
| SAMANTHA JOANNE TOBIAS | L.D.O. | 1215443775 |
| JOSHUA J MATTUCCI | — | 1508598160 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.