Liberty Eyecare Corp
NPI 1194247619 · Optometrist · South Richmond Hill, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Liberty Eyecare Corp is a Optometrist organization in South Richmond Hill, NY (NPI 1194247619).
Provider details
- NPI number
- 1194247619
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Boris Bangiyev, Owner(718) 517-9191
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Liberty Eyecare Corp's NPI number?
- Liberty Eyecare Corp's National Provider Identifier (NPI) is 1194247619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Eyecare Corp?
- Liberty Eyecare Corp is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Liberty Eyecare Corp located?
- Liberty Eyecare Corp's practice location on file with NPPES is 11702 Liberty Ave, South Richmond Hill, NY 11419-1922.
- What is Liberty Eyecare Corp's phone number?
- The practice phone number listed in the NPPES registry for Liberty Eyecare Corp is (718) 517-9191.
- Does Liberty Eyecare Corp accept Medicare?
- Liberty Eyecare Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Liberty Eyecare Corp?
- The authorized official listed on Liberty Eyecare Corp's NPPES record is Boris Bangiyev, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Eyecare Corp's NPI active?
- Yes — Liberty Eyecare Corp's NPI (1194247619) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.