Lieb, Gregory A
Lieb, Gregory A is an individual health care provider with primary practice located at 7522 N Himes Ave , Tampa FL 33614-3205. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lieb, Gregory A can be contacted via phone (813) 865-1142.Contact Information
Primary practice address
7522 N Himes Ave
Tampa FL 33614-3205
Phone: (813) 865-1142
Fax: (813) 936-2805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 3354 | Florida |
Profile Details
| NPI number | 1962400952 |
|---|---|
| LBN Legal business name | Lieb, Gregory A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | May 9th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962400952 | NPPES |
| Florida | MEDICAID | 620771500 | |
| Florida | Other | 7328183 | |
| Florida | Other | 20965 |
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