# ROBERT F. DIBBLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720178577
- **Authorized official:** DR. ROBERT F DIBBLE M.D. (OWNER)
- **Authorized official phone:** (860) 423-2111

## Contact information

- **Practice address:** 1120 MAIN ST, WILLIMANTIC, CT 06226-2014
- **Practice address phone:** (860) 423-2111
- **Practice address fax:** (860) 423-7559
- **Mailing address:** 1120 MAIN ST, WILLIMANTIC, CT 06226-2014
- **Mailing address phone:** (860) 423-2111
- **Mailing address fax:** (860) 423-7559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 002357 | CT | — |
| 152W00000X | Optometrist | 002698 | CT | — |
| 207W00000X | Ophthalmology Physician | 030376 | CT | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 06/11/2015