Individual
DONALD WILLIAM BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
7101 CEDAR SPRINGS BLVD, LOUISVILLE, KY 40291-2587
(502) 231-7753
(502) 231-7054
Mailing address
8214 PANDOREA DR, LOUISVILLE, KY 40258-2048
(502) 552-7345
(502) 231-7054
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111898
KY
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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