DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) – Optometrist, NPI 1215550322

DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) is a healthcare provider. based in Medina, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.006883 (OH). The NPI Number for DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) is 1215550322

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELICA POLIZZI-LIBERTOWSKI (OD)
NPI
1215550322
Phone
(330) 722-1313
Address
3609 MEDINA RD
Enumeration Date
22 May 2020
Last Update Date
12 July 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3307221313
Graduation Year
2020 (6 years ago)
PAC ID
6305261025
Group Practice PAC ID
0345478970
Professional Enrollment ID
I20200729000281
Address ID
OH442568181ME3609XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. ANGELICA POLIZZI-LIBERTOWSKI (OD)

  • 3609 MEDINA RD

    MEDINA, OH 442568181

    Phone: (330) 722-1313

    Type: Location

  • 42 BROOKSIDE BLVD

    HINCKLEY, OH 442339613

    Phone: (440) 521-7895

    Type: Mailing

  • 20914 DRAKE RD

    STRONGSVILLE, OH 441495851

    Phone: (440) 878-0122

    Type: Location

  • 7653 TRENTON TRL

    MIDDLEBURG HEIGHTS, OH 441306821

    Phone: (440) 521-7895

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $557.

Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($281).

Total Amount

$557

General + Research + Ownership

Payments

23

Total payment records

General Amount

$557

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2020-07-29

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
I20200729000281IOptometryOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3327$0
92134Imaging of retina2019$0
92014Established patient complete exam of visual system1616$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 44256)

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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: 0345478970View full group profile
NameSpecialtyState
O P T O M E T R YOH
Ophthalmology, OptometryOH

Reviews

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Frequently asked questions

Is there an official ID for DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) in U.S. healthcare records?
The official identifier for DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) is NPI 1215550322.
Is there an active status for DR. ANGELICA POLIZZI-LIBERTOWSKI (OD)?
For scheduling context, DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) is shown as active in the registry.
What kind of doctor is DR. ANGELICA POLIZZI-LIBERTOWSKI (OD)?
DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) located near Medina?
DR. ANGELICA POLIZZI-LIBERTOWSKI (OD) currently maps to Medina, Ohio in this extract.
Can I trust this NPI listing for DR. ANGELICA POLIZZI-LIBERTOWSKI (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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