Liberty Eyecare Corp
NPI 1194247619ActiveOrganization· Optometrist· South Richmond Hill, NY
Optometrist in South Richmond Hill, New York, registered in NPPES in July 2017. The authorized official on file is Boris Bangiyev, OWNER, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194247619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Optometrist providers in South Richmond Hill
- 1679629711
- 1609244698
- 1225743677
- 1235538596
- 1790236214
- 1225238322
- 1982017000
- 1912959859
- 1912429226
- 1679791065
- 1457539991
- 1144437104