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Individual

DR. TERRY WILLIAM NISBET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1351 E KEMPER RD, CINCINNATI, OH 45246-3903
(513) 771-9800
(513) 771-9840
Mailing address
1351 E KEMPER RD, CINCINNATI, OH 45246-3903
(513) 771-9800
(513) 771-9840

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4132
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000475686
ANTHEM
Enumeration date
01/04/2006
Last updated
03/06/2009
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