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NPI 1164537536

IndividualActive

Charles Lieberman, O.D.

NPI 1164537536 · Optometrist · Troy, MO

Provider details

NPI number: 1164537536
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: Yes
License: T03256 (MO)

Practice location

101 Highway 47 E

Troy, MO 63379-3100

Phone: (636) 528-8960

Fax: (636) 528-8974

More MO providers

Mailing address

23 Royallbend Ct

O Fallon, MO 63368-6861

Registry dates

Enumerated: 2006-08-19
Last updated: 2011-11-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Charles Lieberman, O.D. — NPI 1164537536, Troy, MO | NPI Central