Lieblong Eye Clinic, Pa
Customized Equipment
2800 W Main St, Russellville
Arkansas, 72801-2449
479-968-2020 479-968-8803
Lieblong Eye Clinic, Pa is a Customized Equipment in Russellville, Arkansas. It is located at 2800 W Main St, Russellville and it's customer support contact number is 479-968-2020. The authorized person of Lieblong Eye Clinic, Pa is Mrs. Chloe Lieblong who is Office Manager of this DME and her contact number is 479-968-2020. Active license number of Lieblong Eye Clinic, Pa is 2265 for Customized Equipment in Arkansas. Lieblong Eye Clinic, Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lieblong Eye Clinic, Pa is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Lieblong Eye Clinic, Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Lieblong Eye Clinic, Pa |
| Type: | Customized Equipment |
| Location: | 2800 W Main St, Russellville,
Arkansas, 72801-2449 |
| Phone: | 479-968-2020 |
| Fax: | 479-968-8803 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Chloe Lieblong |
| Position: | Office Manager |
| Contact Number: | 479-968-2020 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1710167143 |
| NPI Enumeration Date: | 14 Nov, 2007 |
| NPI Last Update On: | 12 May, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lieblong Eye Clinic, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 2265 | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 410014279 | Other | Arkansas | Railroad Retirement |
| 103901722 | Medicaid | Arkansas | |
| 16617000041 | Other | Arkansas | Qual Choice |
Medicare Enrollment:
Lieblong Eye Clinic, Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5395862320 | O20100930050777 | Lieblong Eye Clinic Pa | DME SUPPLIER - PHYSICIAN - OPTOMETRIST |
| 5395862320 | O20110607000663 | Lieblong Eye Clinic Pa | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Products Available:
Lieblong Eye Clinic, Pa has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Conventional Eyeglasses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2800 W Main St,
Russellville, Arkansas |
| Zip: | 72801-2449 |
| Phone Number: | 479-968-2020 |
| Fax Number: | 479-968-8803 |
Patients can reach Lieblong Eye Clinic, Pa at
2800 W Main St, Russellville, Arkansas or can
call on customer care at 479-968-2020.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.