DR. Charles Edward Lieberman III, O.D.

NPI #1164537536 in Troy, Missouri

Provider Information

NPI Number: 1164537536
Entity Type: Individual
Name: DR. Charles Edward Lieberman III, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 19, 2006
Last Updated: Nov 16, 2011

Practice Location

Address: 101 HIGHWAY 47 E
City: Troy
State: Missouri
ZIP Code: 63379-3100
Phone: (636) 528-8960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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