Organization
BYRON J NIBERT DBA SOUTHERN EYE CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON J NIBERT O.D. (OWNER)
(304) 469-6711
Entity
Organization
Contact information
Practice address
140 MAIN ST W, OAK HILL, WV 25901-2935
(304) 469-6711
(304) 465-8332
Mailing address
140 MAIN ST W, OAK HILL, WV 25901-2935
(304) 469-6711
(304) 465-8332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
737OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012610000
—
WV
Enumeration date
12/08/2006
Last updated
09/05/2008
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