STEPHANIE CORINNE LIEBSCHER (OD) – Optometrist, NPI 1619427911

STEPHANIE CORINNE LIEBSCHER (OD) is a healthcare provider. based in Old saybrook, Connecticut. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2988 (CT). The NPI Number for STEPHANIE CORINNE LIEBSCHER (OD) is 1619427911

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE CORINNE LIEBSCHER (OD)
NPI
1619427911
Phone
(860) 388-2020
Address
1156 BOSTON POST RD
Enumeration Date
11 October 2016
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608860161
Graduation Year
2016 (10 years ago)
PAC ID
0244514024
Group Practice PAC ID
8820062508
Professional Enrollment ID
I20170222000928
Address ID
CT063602173NO79XXXSTXX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

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Provider Addresses for STEPHANIE CORINNE LIEBSCHER (OD)

  • Boston Post Road, Saybrook Manor, Old Saybrook, Middlesex County, Connecticut, 06475, United States

    OLD SAYBROOK, CT 064754405

    Phone: (860) 388-2020

    Fax: (860) 388-0889

    Type: Mailing

  • 260 THAMES ST

    GROTON, CT 063403916

    Phone: (860) 428-8254

    Fax: (860) 955-2816

    Type: Mailing

  • 450 PROVIDENCE RD

    BROOKLYN, CT 062341823

    Phone: (860) 428-8254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Ocular Therapeutix, Inc. ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ocular Therapeutix, Inc.$121
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170222000928IOptometryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system263262$0
92012Established patient problem focused exam of visual system10981$0
92083Exam of visual field with extended testing2925$0
92004New patient complete exam of visual system2525$0
92134Imaging of retina2322$0
View full utilization report →

Insurance plans in this area (ZIP 06475)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820062508View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
-CT
O P T O M E T R YCT
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

How do payers reference STEPHANIE CORINNE LIEBSCHER (OD)?
For STEPHANIE CORINNE LIEBSCHER (OD), use NPI 1619427911 as the unique 10-digit identifier.
Is there an active status for STEPHANIE CORINNE LIEBSCHER (OD)?
For scheduling context, STEPHANIE CORINNE LIEBSCHER (OD) is shown as active in the registry.
What kind of doctor is STEPHANIE CORINNE LIEBSCHER (OD)?
STEPHANIE CORINNE LIEBSCHER (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is STEPHANIE CORINNE LIEBSCHER (OD) located near Old Saybrook?
STEPHANIE CORINNE LIEBSCHER (OD) currently maps to Old Saybrook, Connecticut in this extract.
When was this NPI issued?
Enumeration for STEPHANIE CORINNE LIEBSCHER (OD) is noted as October 11, 2016 where the registry provides it.

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